Individual
AVERY ROTH-HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 5TH AVE FL 5, NEW YORK, NY 10001-4527
(212) 828-7473
Mailing address
9805 67TH AVE APT 8J, REGO PARK, NY 11374-4928
(510) 393-3215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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