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Mr. Daniel Jacob Rothman, MA
Mental Health Counselor in Ketchum, Idaho
NPI 1174916266

Daniel Jacob Rothman is a Mental Health Counselor based in Ketchum, ID and is specialized in Mental Health. Daniel Jacob Rothman practices in Ketchum, ID and has the professional credentials of MA. The NPI Number for Daniel Jacob Rothman is 1174916266 and holds a License No. (Idaho).

The current practice location address for Daniel Jacob Rothman is 220 River St E, Ketchum, ID and can be reached out via phone at 208-471-4838.

Location: 220 River St E, Ketchum, ID, 83340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174916266
Provider Name
Daniel Jacob Rothman
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
220 River St E, Ketchum, ID, 83340
Phone Number
208-471-4838
Fax Number
Provider Enumeration Date
03/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7227 01 ID LCPC
institution
Provider Business Practice Location Address Details
Address
220 River St E
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-471-4838
Fax Number
person
Provider Business Mailing Address Details
Address
220 River St E
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-471-4838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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