Individual provider · Type 1 NPI

Ethan Graham Rohm, M.S., LPC ASSOCIATE

Professional Counselor · Fort Worth, TX

NPI number 1629998828 Active

Practice location

5751 Kroger Dr Ste 114
Fort Worth, TX 76244-5633

Mailing address

5013 Daylily Ct
Fort Worth, TX 76123-1806

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X102752 (TX)

Professional Counselor: Definition to come...

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About NPI 1629998828

Ethan Graham Rohm, M.S., LPC ASSOCIATE's National Provider Identifier is 1629998828, issued on Jul 17, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 17, 2026.