Individual provider · Type 1 NPI

Benjamin Duncan Roth

Addiction (Substance Use Disorder) Counselor · San Marcos, CA

NPI number 1104174788 Active

Practice location

340 Rancheros Dr
San Marcos, CA 92069-2900

Mailing address

1350 Morning View Dr
Escondido, CA 92026-4264

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104174788

Benjamin Duncan Roth's National Provider Identifier is 1104174788, issued on Aug 29, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Marcos, CA. The record was last updated on Mar 1, 2013.