Tina Marie Roth

NPI #1386268787 in Harrod, Ohio

Provider Information

NPI Number: 1386268787
Entity Type: Individual
Name: Tina Marie Roth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jun 1, 2020
Last Updated: Jun 1, 2020

Practice Location

Address: 815 N PHILLIPS RD
City: Harrod
State: Ohio
ZIP Code: 45850-9448
Phone: (419) 231-4530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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