Individual provider · Type 1 NPI

Marc Roth, LMHC

Mental Health Counselor · Goshen, IN

NPI number 1184613028 Active

Practice location

1930 W Lincoln Ave
Goshen, IN 46526-5907

Call (574) 534-2161 Map

Fax (574) 534-3887

Mailing address

1908 W Lincoln Ave
Goshen, IN 46526-5907

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39001276A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1184613028

Marc Roth, LMHC's National Provider Identifier is 1184613028, issued on Oct 13, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goshen, IN. The record was last updated on Dec 18, 2012.