Individual
JAMES SAMUEL ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CRC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701012126
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S8274666
ENTITY INFORMATION
VA
Enumeration date
01/16/2023
Last updated
01/16/2023
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