Jacqueline Marie Roth

NPI #1669021952 in Arlington, Washington

Provider Information

NPI Number
1669021952
Entity Type
Individual
Name
Jacqueline Marie Roth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Sep 9, 2019
Last Updated
Sep 9, 2019

Practice Location

Address
5700 172ND ST NE
ZIP Code
98223-7742
Phone
(360) 652-9640

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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