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Stephanie L Roth, LCPC
Professional Counselor in Chicago, Illinois
NPI 1720254857

Stephanie L Roth is a Professional Counselor based in Chicago, IL and is specialized in Professional. Stephanie L Roth practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Stephanie L Roth is 1720254857 and holds a License No. 180.006723 (Illinois).

The current practice location address for Stephanie L Roth is 5710 N Broadway St, Chicago, IL and can be reached out via phone at 773-728-1000.

Location: 5710 N Broadway St, Chicago, IL, 60660-4302
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Provider Profile Details
NPI Number
1720254857
Provider Name
Stephanie L Roth
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
5710 N Broadway St, Chicago, IL, 60660-4302
Phone Number
773-728-1000
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180.006723 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5710 N Broadway St
City
State
Zip
60660-4302
Phone Number
773-728-1000
Fax Number
person
Provider Business Mailing Address Details
Address
5710 N Broadway St
City
State
Zip
60660-4302
Phone Number
773-728-1000
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.006723 (Illinois)
Definition
Definition to come...
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