Individual
MR. GARY DEAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4151 SHRESTHA DR, BAY CITY, MI 48706-2171
(989) 203-0602
(989) 684-4331
Mailing address
4151 SHRESTHA DR STE D, BAY CITY, MI 48706-2171
(989) 220-3060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509139660
BCBS
MI
Enumeration date
11/24/2009
Last updated
06/06/2023
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