Individual
JAMES SAMUEL ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CRC
Contact information
Practice address
228 LEE DR, WAYNESBORO, VA 22980-1505
(719) 775-6222
Mailing address
228 LEE DR, WAYNESBORO, VA 22980-1505
(719) 775-6222
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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