Individual
MARY ELLEN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
695 SOUTH STREET, #6, CHARDON, OH 44024
(440) 286-1553
(440) 286-1318
Mailing address
695 SOUTH STREET, #6, CHARDON, OH 44024
(440) 286-1553
(440) 286-1318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0007784-SUPV
OH
101YP2500X
Professional Counselor
Primary
E0007784
OH
Other
Enumeration date
07/01/2011
Last updated
03/10/2026
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