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Organization

ROTH THERAPEUTIC SERVICES PLLC

Active
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Organization

ROTH THERAPEUTIC SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TREVOR JUDE ROTH LCMHC (MEMBER)
(419) 202-3350
Entity
Organization

Contact information

Practice address
545 N LAKESHORE DR, LAKE JUNALUSKA, NC 28745-9742
(419) 202-3350
Mailing address
PO BOX 712, LAKE JUNALUSKA, NC 28745-0712
(419) 202-3350

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—

Other

Enumeration date
08/29/2023
Last updated
04/29/2026
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