Individual provider · Type 1 NPI
Justin Roth
Addiction (Substance Use Disorder) Counselor · Ravenna, OH
NPI number
1316410202
Active
Practice location
246 S Chestnut St
Ravenna, OH 44266-3055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 167987 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1316410202
Justin Roth's National Provider Identifier is 1316410202, issued on Jan 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ravenna, OH. The record was last updated on Jan 3, 2019.