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Jennifer A Roth
Addiction (Substance Use Disorder) Counselor in Otsego, Minnesota
NPI 1205309895

Jennifer A Roth is an Addiction (Substance Use Disorder) Counselor based in Otsego, MN and is specialized in Addiction (Substance Use Disorder). Jennifer A Roth practices in Otsego, MN. The NPI Number for Jennifer A Roth is 1205309895 and holds a License No. (Minnesota).

The current practice location address for Jennifer A Roth is 9245 Quantrelle Ave Ne, Otsego, MN and can be reached out via phone at 763-746-9492.

Location: 9245 Quantrelle Ave Ne, Otsego, MN, 55330-0168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205309895
Provider Name
Jennifer A Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
9245 Quantrelle Ave Ne, Otsego, MN, 55330-0168
Phone Number
763-746-9492
Fax Number
Provider Enumeration Date
01/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9245 Quantrelle Ave Ne
City
Otsego
State
Minnesota
Zip
55330-0168
Phone Number
763-746-9492
Fax Number
person
Provider Business Mailing Address Details
Address
9245 Quantrelle Ave Ne
City
Otsego
State
Minnesota
Zip
55330-0168
Phone Number
763-746-9492
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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