Individual provider · Type 1 NPI

Jeanna Marie Roth, LADC

Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI number 1235842907 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Call (651) 628-9566 Map

Mailing address

16427 Beaver Dr
Big Lake, MN 55309-4859

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303934 (MN)

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

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About NPI 1235842907

Jeanna Marie Roth, LADC's National Provider Identifier is 1235842907, issued on Dec 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Dec 27, 2022.