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Kimberly Lynn Roth, MA
Counselor in Flowery Branch, Georgia
NPI 1942323100

Kimberly Lynn Roth is a Counselor based in Flowery Branch, GA. Kimberly Lynn Roth practices in Flowery Branch, GA and has the professional credentials of MA. The NPI Number for Kimberly Lynn Roth is 1942323100 and holds a License No. LPC004836 (Georgia).

The current practice location address for Kimberly Lynn Roth is 3584 Atlanta Highway, Flowery Branch, GA and can be reached out via phone at 770-535-1050 and via fax at 678-943-8705.

Location: 3584 Atlanta Highway, Flowery Branch, GA, 30542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942323100
Provider Name
Kimberly Lynn Roth
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3584 Atlanta Highway, Flowery Branch, GA, 30542
Phone Number
770-535-1050
Fax Number
678-943-8705
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3584 Atlanta Highway
City
Flowery Branch
State
Georgia
Zip
30542
Phone Number
770-535-1050
Fax Number
678-943-8705
person
Provider Business Mailing Address Details
Address
3584 Atlanta Highway
City
Flowery Branch
State
Georgia
Zip
30542
Phone Number
770-535-1050
Fax Number
678-943-8705
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC004836 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC004836 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC004836 (Georgia)
Definition
Definition to come...
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