person
Mr. Robert John Booth
Mental Health Counselor in Appleton, Wisconsin
NPI 1831768258

Robert John Booth is a Mental Health Counselor based in Oshkosh, WI and is specialized in Mental Health. Robert John Booth practices in Appleton, WI. The NPI Number for Robert John Booth is 1831768258 and holds a License No. (Wisconsin).

The current practice location address for Robert John Booth is 2500 E Enterprise Ave Ste B, Appleton, WI and can be reached out via phone at 920-416-8577.

Location: 2500 E Enterprise Ave Ste B, Appleton, WI, 54901-2510
person
Provider Profile Details
NPI Number
1831768258
Provider Name
Robert John Booth
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 E Enterprise Ave Ste B, Appleton, WI, 54901-2510
Phone Number
920-416-8577
Fax Number
Provider Enumeration Date
06/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42251300 05 WI
institution
Provider Business Practice Location Address Details
Address
2500 E Enterprise Ave Ste B
City
State
Zip
54913-8556
Phone Number
920-416-8577
Fax Number
person
Provider Business Mailing Address Details
Address
2500 E Enterprise Ave Ste B
City
State
Zip
54913-8556
Phone Number
920-416-8577
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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