BENJAMIN DUNCAN ROTH

SAN MARCOS, CA
NPI1104174788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-08-29
Last Update Date2013-03-01
Business Address
-- BENJAMIN DUNCAN ROTH
340 RANCHEROS DR
SAN MARCOS, CA 92069-2900
Phone number: 760-744-3672
Mailing Address
-- BENJAMIN DUNCAN ROTH
1350 MORNING VIEW DR
ESCONDIDO, CA 92026-4264
Phone number: 858-880-8704
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