Raven Alexis Roth, MA, LPC, LAC
NPI #1114529294 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1114529294
- Entity Type
- Individual
- Name
- Raven Alexis Roth, MA, LPC, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC, LAC
- Enumeration Date
- Nov 12, 2020
- Last Updated
- Jun 18, 2025
Practice Location
- Address
- 4350 WADSWORTH BLVD STE 250
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-4653
- Phone
- (970) 310-3406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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