Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 79330 | OH |
N | 101YM0800X | Mental Health Counselor | 1541 | TN |
N | 101YP1600X | Pastoral Counselor | 32 | TN |
NPI | 1205932662 |
---|---|
Provider Name | Dr. Gilbert Joseph Roth |
First Address | Hendersonville, TN 37075 |
Second Address | Hendersonville, TN 37075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 21/01/2011 |