Individual
ELIZABETH ROODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, CDCA
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
(937) 534-1351
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.0800479
OH
101YP2500X
Professional Counselor
Primary
E.1600050
OH
Other
Enumeration date
10/31/2012
Last updated
01/04/2022
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