| Ms Laurie M Roth, MFT | |
|
159 Kentucky St, Suite 1, Petaluma, CA 94952-2305 | |
| (707) 778-8414 | |
| Not Available |
| Full Name | Ms Laurie M Roth |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 159 Kentucky St, Petaluma, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295284644 | NPI | - | NPPES |
| MFC25807 | Other | CA | MARRIAGE AND FAMILY THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC25807 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laurie M Roth, MFT 159 Kentucky St Ste 1, Petaluma, CA 94952-2324 Ph: (707) 778-8414 | Ms Laurie M Roth, MFT 159 Kentucky St, Suite 1, Petaluma, CA 94952-2305 Ph: (707) 778-8414 |
Kelsey Gielen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Kati Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Kaitlyn D Henris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Old Redwood Hwy, Suite 600, Petaluma, CA 94954 Phone: 707-565-1270 | |
Gary Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Erin Ellen Ahern, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-776-4670 Fax: 707-544-9011 | |
Kyle Lew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Stephen Donnellan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 |