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Brennon Roth
Professional Counselor in North Bend, Oregon
NPI 1881325116

Brennon Roth is a Professional Counselor based in North Bend, OR and is specialized in Professional. Brennon Roth practices in North Bend, OR. The NPI Number for Brennon Roth is 1881325116 and holds a License No. C6849 (Oregon).

The current practice location address for Brennon Roth is 1890 Waite St Ste 1, North Bend, OR and can be reached out via phone at 541-756-6232.

Location: 1890 Waite St Ste 1, North Bend, OR, 97459-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881325116
Provider Name
Brennon Roth
Credential
Provider Entity Type
Individual
Gender
Male
Address
1890 Waite St Ste 1, North Bend, OR, 97459-1229
Phone Number
541-756-6232
Fax Number
Provider Enumeration Date
06/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1890 Waite St Ste 1
City
North Bend
State
Oregon
Zip
97459-1229
Phone Number
541-756-6232
Fax Number
person
Provider Business Mailing Address Details
Address
1890 Waite St Ste 1
City
North Bend
State
Oregon
Zip
97459-1229
Phone Number
541-756-6232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C6849 (Oregon)
Definition
Definition to come...
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