LAURIE M ROTH

PETALUMA, CA
NPI1295284644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MFC25807)
Enumeration Date2016-09-27
Last Update Date2016-09-27
Business Address
Ms. LAURIE M ROTH MFT
159 KENTUCKY ST SUITE 1
PETALUMA, CA 94952-2305
Phone number: 707-778-8414
Mailing Address
Ms. LAURIE M ROTH MFT
159 KENTUCKY ST STE 1
PETALUMA, CA 94952-2324
Phone number: 707-778-8414