Individual provider · Type 1 NPI

Tammie Roth, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1609572437 Active

Practice location

2200 E Franklin Ave Ste 200A
Minneapolis, MN 55404-2395

Call (651) 300-7795 Map

Mailing address

703 Woodland Ave
Park Rapids, MN 56470-1154

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305286 (MN)

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

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About NPI 1609572437

Tammie Roth, LADC's National Provider Identifier is 1609572437, issued on Feb 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 2, 2023.