person
Amanda Colleen Roth
Professional Counselor in Cody, Wyoming
NPI 1861032724

Amanda Colleen Roth is a Professional Counselor based in Cody, WY and is specialized in Professional. Amanda Colleen Roth practices in Cody, WY. The NPI Number for Amanda Colleen Roth is 1861032724 and holds a License No. LPC-2124 (Wyoming).

The current practice location address for Amanda Colleen Roth is 956 12Th St, Cody, WY and can be reached out via phone at 307-751-5111 and via fax at 307-587-4014.

Location: 956 12Th St, Cody, WY, 82414-9271
person
Provider Profile Details
NPI Number
1861032724
Provider Name
Amanda Colleen Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
956 12Th St, Cody, WY, 82414-9271
Phone Number
307-751-5111
Fax Number
307-587-4014
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
956 12Th St
City
State
Zip
82414-3602
Phone Number
307-751-5111
Fax Number
307-587-4014
person
Provider Business Mailing Address Details
Address
956 12Th St
City
State
Zip
82414-3602
Phone Number
307-751-5111
Fax Number
307-587-4014
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-2124 (Wyoming)
Definition
Definition to come...
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