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Individual

DR. GILBERT JOSEPH ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.MIN.

Contact information

Practice address
113 HAZEL PATH, SUITE3, HENDERSONVILLE, TN 37075
(615) 822-1116
Mailing address
156 WEST HARBOR, HENDERSONVILLE, TN 37075
(615) 264-0073

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
79330
OH
101YM0800X
Mental Health Counselor
1541
TN
101YP1600X
Pastoral Counselor
32
TN
106H00000X
Marriage & Family Therapist
Primary
565
TN

Other

Enumeration date
09/15/2006
Last updated
01/21/2011
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