Individual
MICHELE MARIE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., N.C.C., L.P.C.
Contact information
Practice address
1043B N MAIN ST, PITMAN, NJ 08071-2417
(856) 297-9689
Mailing address
130 MILLSTONE WAY, MONROEVILLE, NJ 08343-2834
(856) 297-9689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00324400
NJ
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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