| Dan Roth, Pllc | |
|
2579 John Milton Dr Ste 210 Herndon VA 20171-2564 | |
| (703) 214-4924 | |
| Not Available |
| Full Name | Dan Roth, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2579 John Milton Dr Ste 210, Herndon, Virginia |
| Authorized Official Name and Position | Daniel Roth (OWNER) |
| Authorized Official Contact | 3014665503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Roth, Pllc 1549 Inlet Ct Reston VA 20190-4423 Ph: () - | Dan Roth, Pllc 2579 John Milton Dr Ste 210 Herndon VA 20171-2564 Ph: (703) 214-4924 |
| NPI Number | 1417802315 |
|---|---|
| Provider Enumeration Date | 03/04/2026 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417802315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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