JACQUELINE MARIE ROTH NPI 1669021952

NPI Information

NPI: 1669021952
Provider Name: JACQUELINE MARIE ROTH
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5700 172ND ST NE
ARLINGTON, WA
ZIP 98223
Phone: (360) 652-9640
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Jacqueline Marie Roth is an addiction (substance use disorder) counselor in Arlington, WA. Jacqueline Marie Roth NPI is 1669021952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5700 172ND ST NE
ARLINGTON, WA
ZIP 98223-742
Phone: (360) 652-9640
Fax: (360) 652-2093

The enumeration date for this NPI number is 9/9/2019 and was last updated on 9/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60298450	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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