person
Raven Alexis Roth, MA,LAC,LPCC
Professional Counselor in Denver, Colorado
NPI 1114529294

Raven Alexis Roth is a Professional Counselor based in Lakewood, CO and is specialized in Professional. Raven Alexis Roth practices in Denver, CO and has the professional credentials of MA,LAC,LPCC. The NPI Number for Raven Alexis Roth is 1114529294 and holds a License No. ACD.0001568 (Colorado).

The current practice location address for Raven Alexis Roth is 4401 S Quebec St Ste 200, Denver, CO and can be reached out via phone at 620-804-2039.

Location: 4401 S Quebec St Ste 200, Denver, CO, 80226-4986
person
Provider Profile Details
NPI Number
1114529294
Provider Name
Raven Alexis Roth
Credential
MA,LAC,LPCC
Provider Entity Type
Individual
Gender
Female
Address
4401 S Quebec St Ste 200, Denver, CO, 80226-4986
Phone Number
620-804-2039
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4401 S Quebec St Ste 200
City
State
Zip
80237-2635
Phone Number
620-804-2039
Fax Number
person
Provider Business Mailing Address Details
Address
4401 S Quebec St Ste 200
City
State
Zip
80237-2635
Phone Number
620-804-2039
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC.0016845 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
ACD.0001568 (Colorado)
Definition
Definition to come...
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