Individual provider · Type 1 NPI
Charlene Jean Roth, LMFT
Marriage & Family Therapist · Shipshewana, IN
Practice location
5460 N 450 W
Shipshewana, IN 46565-8504
Fax (260) 499-4158
Mailing address
PO Box 292
Lagrange, IN 46761-0292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 35001635A (IN) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
Another provider at this address
About NPI 1083862072
Charlene Jean Roth, LMFT's National Provider Identifier is 1083862072, issued on Sep 3, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Shipshewana, IN. The record was last updated on Sep 3, 2008.