person
Susan Roth
Mental Health Counselor in Mchenry, Illinois
NPI 1548919905

Susan Roth is a Mental Health Counselor based in Mchenry, IL and is specialized in Mental Health. Susan Roth practices in Mchenry, IL. The NPI Number for Susan Roth is 1548919905 and holds a License No. 178.017926 (Illinois).

The current practice location address for Susan Roth is 4209 W Shamrock Ln Unit C, Mchenry, IL and can be reached out via phone at 815-344-9443.

Location: 4209 W Shamrock Ln Unit C, Mchenry, IL, 60050-8700
person
Provider Profile Details
NPI Number
1548919905
Provider Name
Susan Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
4209 W Shamrock Ln Unit C, Mchenry, IL, 60050-8700
Phone Number
815-344-9443
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4209 W Shamrock Ln Unit C
City
State
Zip
60050-8700
Phone Number
815-344-9443
Fax Number
person
Provider Business Mailing Address Details
Address
4209 W Shamrock Ln Unit C
City
State
Zip
60050-8700
Phone Number
815-344-9443
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.017926 (Illinois)
Definition
Definition to come...
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