JUSTIN ROTH

RAVENNA, OH
NPI1316410202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  167987)
Enumeration Date2019-01-03
Last Update Date2019-01-03
Business Address
JUSTIN ROTH
246 S CHESTNUT ST
RAVENNA, OH 44266-3055
Phone number: 330-298-9391
Mailing Address
JUSTIN ROTH
246 S CHESTNUT ST
RAVENNA, OH 44266-3055
Phone number: 330-298-9391
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