Individual
MELISSA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2317 N HILL FIELD RD STE 103, LAYTON, UT 84041-4782
(801) 525-4645
(801) 643-5619
Mailing address
2116 W GRASSY PLAIN DR, KAYSVILLE, UT 84037-6739
(801) 824-2750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
371425-3501
UT
101YP2500X
Professional Counselor
371425-3501
UT
1041C0700X
Clinical Social Worker
Primary
371425-3501
UT
1041S0200X
School Social Worker
371425-3501
UT
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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