Individual provider · Type 1 NPI

Daniel Stephen Roth, MA, CBIS

Mental Health Counselor · Herndon, VA

NPI number 1982444048 Active

Practice location

2579 John Milton Dr
Herndon, VA 20171-2563

Mailing address

1549 Inlet Ct
Reston, VA 20190-4423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982444048

Daniel Stephen Roth, MA, CBIS's National Provider Identifier is 1982444048, issued on May 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Herndon, VA. The record was last updated on Jun 6, 2024.