Individual
CHERYL K ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC-CS
Contact information
Practice address
246 S CHESTNUT ST, RAVENNA, OH 44266-3055
(330) 298-9391
(330) 298-9391
Mailing address
246 S CHESTNUT ST, RAVENNA, OH 44266-3055
(330) 298-9391
(330) 298-9392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ICDC-923311
OH
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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