| Doctor Name: | CAROL K ROTHERA |
| NPI Number: | 1104013564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PC00-4271 |
| Business Practice Address: | 491 John Young Way Ste 300 Life Counseling Services Exton, PA - 193412567 |
| Business Phone Number: | 6106446464 |
| Business Fax Number: | |
| Mailing Address: | Po Box 158, 1099 Maryland Circle DOWNINGTOWN |
| State: | PA |
| Postal Code: | 193350158 |
| Phone Number: | 4842378477 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC00-4271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |