Individual
CHARLES ROTHERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
320 WELLINGTON RD, WEST CHESTER, PA 19380-4723
(267) 317-6492
Mailing address
320 WELLINGTON RD, WEST CHESTER, PA 19380-4723
(267) 317-6492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8722
PA
1041C0700X
Clinical Social Worker
Primary
CW022147
PA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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