Individual
DR. MARIA THERESA ROTHENBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
161 HIGH ST SE STE 230, SALEM, OR 97301
(971) 301-4906
(503) 877-1926
Mailing address
PO BOX 5311, SALEM, OR 97304-0311
(971) 301-4906
(503) 877-1926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH607047750
WA
101YP2500X
Professional Counselor
37PC00392700
NJ
101YP2500X
Professional Counselor
Primary
C4185
OR
Other
Enumeration date
08/12/2008
Last updated
09/24/2019
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