Organization
COUNCIL FOR RELATIONSHIPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET S ROTH MSED (SENIOR STAFF THERAPIST)
(215) 382-6680
Entity
Organization
Contact information
Practice address
4025 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19104-3054
(215) 382-6680
(215) 386-1743
Mailing address
1094 TINKERHILL RD, MALVERN, PA 19355-7603
(610) 935-7393
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000049
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27093
AAMFT ID NUMBER
PA
01
—
MF000049
MFT LICENSE NUMBER
PA
Enumeration date
05/16/2007
Last updated
08/22/2020
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