Individual
ADAM ROTHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADAC II
Contact information
Practice address
4614 TURFWAY CT, GREENWOOD, IN 46143-8176
(317) 260-3605
Mailing address
4614 TURFWAY CT, GREENWOOD, IN 46143-8176
(317) 260-3605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050237875
DLN
IN
Enumeration date
02/18/2022
Last updated
02/18/2022
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