Individual provider · Type 1 NPI

Justin Philip Roth

Professional Counselor · Huntington Woods, MI

NPI number 1376372292 Active

Practice location

26711 Woodward Ave
Huntington Woods, MI 48070-1333

Mailing address

209 Cloverport Ave
Rochester Hills, MI 48307-2714

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6451017847 (MI)

Professional Counselor: Definition to come...

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About NPI 1376372292

Justin Philip Roth's National Provider Identifier is 1376372292, issued on Jul 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Huntington Woods, MI. The record was last updated on Jul 30, 2024.