Individual
JUSTIN PHILIP ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26711 WOODWARD AVE, HUNTINGTON WOODS, MI 48070-1333
(312) 624-9815
Mailing address
209 CLOVERPORT AVE, ROCHESTER HILLS, MI 48307-2714
(248) 752-7574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451017847
MI
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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