person
Mrs. Mary Ann Roth, LPC
Professional Counselor in Baraboo, Wisconsin
NPI 1033300017

Mary Ann Roth is a Professional Counselor based in Baraboo, WI and is specialized in Professional. Mary Ann Roth practices in Baraboo, WI and has the professional credentials of LPC. The NPI Number for Mary Ann Roth is 1033300017 and holds a License No. 2800 (Wisconsin).

The current practice location address for Mary Ann Roth is E12155 Side Rd, Baraboo, WI and can be reached out via phone at 608-209-4480 and via fax at 608-355-0527.

Location: E12155 Side Rd, Baraboo, WI, 53913-9752
person
Provider Profile Details
NPI Number
1033300017
Provider Name
Mary Ann Roth
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
E12155 Side Rd, Baraboo, WI, 53913-9752
Phone Number
608-209-4480
Fax Number
608-355-0527
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
E12155 Side Rd
City
State
Zip
53913-9752
Phone Number
608-209-4480
Fax Number
608-355-0527
person
Provider Business Mailing Address Details
Address
E12155 Side Rd
City
State
Zip
53913-9752
Phone Number
608-209-4480
Fax Number
608-355-0527
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2800 (North Carolina)
Definition
Definition to come...
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