Adrienne Therese Roth PCC, LCDC-III

NPI 1790034114 - Counselor - 101YA0400X

NPI Details
NPI 1790034114
Gender Female
Enumeration Date 08/30/2012
Last Updated 04/14/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
624 MARKET AVE. N.
CANTON OH, 44702-1017, US
Phone (330) 493-4553
Fax (330) 493-3761
Business Location
624 MARKET AVE. N
CANTON OH, 44702-1017, US
Phone (330) 493-4553
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Ohio
License Number 702977
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According to our database, Ms. Adrienne Therese Roth PCC, LCDC-III NPI is 1790034114, taxonomy code is 101YA0400X and license number is 702977, license state is located at Ohio. Adrienne Therese Roth PCC, LCDC-III physically located at 624 Market Ave. N., Canton OH, 44702-1017. NPI Number Adrienne Therese Roth PCC, LCDC-III has the Individual type.

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1790034114 NPI number is provided on an as is basis without warranty of any kind. 1790034114 is maintained by the National Plan & Provider Enumeration System. The contents of Adrienne Therese Roth PCC, LCDC-III are for informational purposes only.