person
Michele Roth, LADC
Addiction (Substance Use Disorder) Counselor in Grand Rapids, Minnesota
NPI 1396953923

Michele Roth is an Addiction (Substance Use Disorder) Counselor based in Grand Rapids, MN and is specialized in Addiction (Substance Use Disorder). Michele Roth practices in Grand Rapids, MN and has the professional credentials of LADC. The NPI Number for Michele Roth is 1396953923 and holds a License No. 301484 (Minnesota).

The current practice location address for Michele Roth is 1215 Se 7Th Ave, Grand Rapids, MN and can be reached out via phone at 218-327-1105.

Location: 1215 Se 7Th Ave, Grand Rapids, MN, 55744-3615
person
Provider Profile Details
NPI Number
1396953923
Provider Name
Michele Roth
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1215 Se 7Th Ave, Grand Rapids, MN, 55744-3615
Phone Number
218-327-1105
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 Se 7Th Ave
City
State
Zip
55744-4201
Phone Number
218-327-1105
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Se 7Th Ave
City
State
Zip
55744-4201
Phone Number
218-327-1105
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301484 (Minnesota)
Definition
Definition to come...
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