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1740925833
BRANDON J ROTH
FORT COLLINS, CO
NPI
1740925833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0018181)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
Mr. BRANDON J ROTH LPC
306 BOWLINE CT
FORT COLLINS, CO 80525-3116
Phone number: 208-317-5875
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Mailing Address
Mr. BRANDON J ROTH LPC
306 BOWLINE CT
FORT COLLINS, CO 80525-3116
Phone number: 208-317-5875
Copy
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