JENNA ROTH RING

SAN RAFAEL, CA
NPI1912463332
Former NameJENNA ROTH NICHOLSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-11
Last Update Date2019-02-11
Business Address
JENNA ROTH RING
1005 NORTHGATE DR # 115
SAN RAFAEL, CA 94903-2500
Phone number: 415-858-8208
Mailing Address
JENNA ROTH RING
1005 NORTHGATE DR # 115
SAN RAFAEL, CA 94903-2500
Phone number: 415-858-8208