Individual
EMERSON J ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS INTERN
Contact information
Practice address
3135 EUCLID AVE STE 202, CLEVELAND, OH 44115-2524
(216) 391-2030
(216) 334-2882
Mailing address
592 JUNEWAY DR, BAY VILLAGE, OH 44140-2605
(216) 301-3661
(216) 334-2882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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