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Andrea Roth, LCSW
Counselor in Cortland, New York
NPI 1568945301

Andrea Roth is a Counselor based in Cortland, NY. Andrea Roth practices in Cortland, NY and has the professional credentials of LCSW. The NPI Number for Andrea Roth is 1568945301 and holds a License No. 093814 (New York).

The current practice location address for Andrea Roth is 165 Main St, Cortland, NY and can be reached out via phone at 607-753-0234 and via fax at 607-753-2086.

Location: 165 Main St, Cortland, NY, 13045-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568945301
Provider Name
Andrea Roth
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
165 Main St, Cortland, NY, 13045-3049
Phone Number
607-753-0234
Fax Number
607-753-2086
Provider Enumeration Date
09/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336163963 05 NY
institution
Provider Business Practice Location Address Details
Address
165 Main St
City
Cortland
State
New York
Zip
13045
Phone Number
607-753-0234
Fax Number
607-753-2086
person
Provider Business Mailing Address Details
Address
165 Main St
City
Cortland
State
New York
Zip
13045
Phone Number
607-753-0234
Fax Number
607-753-2086
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
093814 (New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
093814 (New York)
Definition
Definition to come...
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