Individual provider · Type 1 NPI
Tamara Roth, CADC
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1306169776
Active
Practice location
25 E Washington St, Suite 1811
Chicago, IL 60602-1708
Fax (312) 444-1048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25042 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306169776
Tamara Roth, CADC's National Provider Identifier is 1306169776, issued on Mar 12, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Mar 12, 2010.