person
Jacqueline Marie Roth
Addiction (Substance Use Disorder) Counselor in Arlington, Washington
NPI 1669021952

Jacqueline Marie Roth is an Addiction (Substance Use Disorder) Counselor based in Arlington, WA and is specialized in Addiction (Substance Use Disorder). Jacqueline Marie Roth practices in Arlington, WA. The NPI Number for Jacqueline Marie Roth is 1669021952 and holds a License No. CP60298450 (Washington).

The current practice location address for Jacqueline Marie Roth is 5700 172Nd St Ne, Arlington, WA and can be reached out via phone at 360-652-9640 and via fax at 360-652-2093.

Location: 5700 172Nd St Ne, Arlington, WA, 98223-7742
person
Provider Profile Details
NPI Number
1669021952
Provider Name
Jacqueline Marie Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
5700 172Nd St Ne, Arlington, WA, 98223-7742
Phone Number
360-652-9640
Fax Number
360-652-2093
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5700 172Nd St Ne
City
State
Zip
98223-7742
Phone Number
360-652-9640
Fax Number
360-652-2093
person
Provider Business Mailing Address Details
Address
5700 172Nd St Ne
City
State
Zip
98223-7742
Phone Number
360-652-9640
Fax Number
360-652-2093
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60298450 (Washington)
Definition
Definition to come...
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