Individual provider · Type 1 NPI

Brye Roth, LPCC-S

Professional Counselor · Lakewood, OH

NPI number 1265086193 Active

Practice location

1414 Riverside Dr Ste 200
Lakewood, OH 44107-3319

Call (440) 508-6765 Map

Mailing address

1527 Winton Ave
Lakewood, OH 44107-3613

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE.2202815 (OH)
Professional Counselor Primary 101YP2500XE.2202815-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1265086193

Brye Roth, LPCC-S's National Provider Identifier is 1265086193, issued on Jul 29, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakewood, OH. The record was last updated on May 1, 2023.