IDIT ROTH, MFT

Marriage & Family Therapist

Active Individual
NPI: 1912286766

Practice Address

30497 CANWOOD ST
SUITE 103
Agoura Hills, CA 91301

Phone: (818) 597-2617

Specialties

Specialty Code Primary License
Marriage & Family Therapist 106H00000X Yes 36086 (CA)

Frequently Asked Questions

NPI 1912286766 is the National Provider Identifier for IDIT ROTH, MFT, a Marriage & Family Therapist provider located in Agoura Hills, CA. This NPI was enumerated on August 11, 2011.
IDIT ROTH, MFT practices at 30497 CANWOOD ST, SUITE 103, Agoura Hills, CA 91301.

Quick Facts

NPI
1912286766
Type
Individual
Enumerated
Aug 11, 2011
Last Updated
Aug 11, 2011

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