JEANNA MARIE ROTH

NEW BRIGHTON, MN
NPI1235842907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303934)
Enumeration Date2022-12-27
Last Update Date2022-12-27
Business Address
JEANNA MARIE ROTH LADC
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
Mailing Address
JEANNA MARIE ROTH LADC
16427 BEAVER DR
BIG LAKE, MN 55309-4859
Phone number: 612-834-2318