TREVOR JUDE ROTH

LAKE JUNALUSKA, NC
NPI1346482270
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C009562)
Enumeration Date2009-03-24
Last Update Date2023-08-29
Business Address
TREVOR JUDE ROTH LCSW, LCAS, CCS-I
545 N LAKESHORE DR STE 102
LAKE JUNALUSKA, NC 28745-9742
Phone number: 419-202-3350
Mailing Address
TREVOR JUDE ROTH LCSW, LCAS, CCS-I
PO BOX 712
LAKE JUNALUSKA, NC 28745-0712
Phone number: 419-202-3350