Individual provider · Type 1 NPI

Lisa Carolyn Roth, LAC

Addiction (Substance Use Disorder) Counselor · Bismarck, ND

NPI number 1295254522 Active

Practice location

101 E Broadway Ave
Bismarck, ND 58501-3840

Fax (701) 255-4891

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1795 (ND)

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

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About NPI 1295254522

Lisa Carolyn Roth, LAC's National Provider Identifier is 1295254522, issued on Sep 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bismarck, ND. The record was last updated on Sep 19, 2017.