Individual provider · Type 1 NPI

Susan Roth

Mental Health Counselor · Mchenry, IL

NPI number 1548919905 Active

Practice location

4209 W Shamrock Ln Unit C
Mchenry, IL 60050-8700

Call (815) 344-9443 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.017926 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1548919905

Susan Roth's National Provider Identifier is 1548919905, issued on Mar 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mchenry, IL. The record was last updated on Mar 22, 2022.