Individual provider · Type 1 NPI

Kimberly Lynn Roth, M.A.

Professional Counselor · Athens, GA

NPI number 1942323100 Active

Practice location

745 S Milledge Ave Ste 1A
Athens, GA 30605-1292

Mailing address

3584 Atlanta Highway
Flowery Branch, GA 30542

Other practice locations

  • 3584 Atlanta Highway, Flowery Branch, GA 30542 · (770) 535-1050

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPC004836 (GA)
Addiction (Substance Use Disorder) Counselor 101YA0400XLPC004836 (GA)
Professional Counselor Primary 101YP2500XLPC004836 (GA)

Professional Counselor: Definition to come...

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About NPI 1942323100

Kimberly Lynn Roth, M.A.'s National Provider Identifier is 1942323100, issued on Apr 10, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Nov 19, 2024.