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Jonathan Roth
Mental Health Counselor in Ithaca, New York
NPI 1366565913

Jonathan Roth is a Mental Health Counselor based in Ithaca, NY and is specialized in Mental Health. Jonathan Roth practices in Ithaca, NY. The NPI Number for Jonathan Roth is 1366565913 and holds a License No. 86401 (New York).

The current practice location address for Jonathan Roth is 122 W Court St, Ithaca, NY and can be reached out via phone at 607-275-5965. You can also correspond with Jonathan Roth through the mailing address at PO BOX 6632, ITHACA, NY - 14851-6632 (mailing address contact number: 415-564-5117).

Location: 122 W Court St, Ithaca, NY, 14851-6632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366565913
Provider Name
Jonathan Roth
Credential
Provider Entity Type
Individual
Gender
Male
Address
122 W Court St, Ithaca, NY, 14851-6632
Phone Number
607-275-5965
Fax Number
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
122 W Court St
City
Ithaca
State
New York
Zip
14850
Phone Number
607-275-5965
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 6632
City
Ithaca
State
New York
Zip
14851-6632
Phone Number
415-564-5117
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
005266 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
86401 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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