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1760743108
JEFF GEORGE ROTH
MOUNTLAKE TERRACE, WA
NPI
1760743108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00009737)
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
-- JEFF GEORGE ROTH MA LMHC
21907 64TH AVE W STE 200
MOUNTLAKE TERRACE, WA 98043-6200
Phone number: 206-319-4446
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Mailing Address
-- JEFF GEORGE ROTH MA LMHC
1417 N 103RD ST
SEATTLE, WA 98133-9406
Phone number: 206-354-5731
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