person
Lisa Carolyn Roth, LAC
Addiction (Substance Use Disorder) Counselor in Bismarck, North Dakota
NPI 1295254522

Lisa Carolyn Roth is an Addiction (Substance Use Disorder) Counselor based in Bismarck, ND and is specialized in Addiction (Substance Use Disorder). Lisa Carolyn Roth practices in Bismarck, ND and has the professional credentials of LAC. The NPI Number for Lisa Carolyn Roth is 1295254522 and holds a License No. 1795 (North Dakota).

The current practice location address for Lisa Carolyn Roth is 101 E Broadway Ave, Bismarck, ND and can be reached out via phone at 701-222-0386 and via fax at 701-255-4891.

Location: 101 E Broadway Ave, Bismarck, ND, 58501-3840
person
Provider Profile Details
NPI Number
1295254522
Provider Name
Lisa Carolyn Roth
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
101 E Broadway Ave, Bismarck, ND, 58501-3840
Phone Number
701-222-0386
Fax Number
701-255-4891
Provider Enumeration Date
09/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 E Broadway Ave
City
State
Zip
58501-3840
Phone Number
701-222-0386
Fax Number
701-255-4891
person
Provider Business Mailing Address Details
Address
101 E Broadway Ave
City
State
Zip
58501-3840
Phone Number
701-222-0386
Fax Number
701-255-4891
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1795 (North Dakota)
Definition
Definition to come...
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