Individual provider · Type 1 NPI
Amanda Colleen Roth
Professional Counselor · Cody, WY
NPI number
1861032724
Active
Practice location
956 12th St
Cody, WY 82414-3602
Fax (307) 587-4014
Mailing address
326 34th St
Cody, WY 82414-9271
Other practice locations
- 2538 Big Horn Ave, Cody, WY 82414-9299 · (307) 587-2197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-2124 (WY) |
Professional Counselor: Definition to come...
4 other providers at this address
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- Melody Griebel, MA LPCProfessional Counselor Cody, WY NPI 1073969374
- Jessica Williams, LPCProfessional Counselor Cody, WY NPI 1073979076
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About NPI 1861032724
Amanda Colleen Roth's National Provider Identifier is 1861032724, issued on Jan 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cody, WY. The record was last updated on Jan 21, 2023.