Individual provider · Type 1 NPI

Russell Roten, MA, RDT, LCAT

Mental Health Counselor · Astoria, NY

NPI number 1619351509 Active

Practice location

421 27th Ave
Astoria, NY 11102-4175

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X05001445 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1619351509

Russell Roten, MA, RDT, LCAT's National Provider Identifier is 1619351509, issued on Jul 10, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Astoria, NY. The record was last updated on Jul 10, 2015.