| Jennifer A Roth, | |
|
9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | |
| (763) 746-9492 | |
| Not Available |
| Full Name | Jennifer A Roth |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9245 Quantrelle Ave Ne, Otsego, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205309895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Roth, 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 Ph: () - | Jennifer A Roth, 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 Ph: (763) 746-9492 |
Mikki K Mason, LMFT, LADC Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 | |
Mr. Larone R Greer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7667 Palisades Ave Ne, Otsego, MN 55330 Phone: 612-281-1629 | |
Heather Jo Voss, MHP, ADC-T Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 Fax: 763-746-3685 | |
Amber Rose Sellin, MA Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Kevin Alan Augustin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Dimitri M Tsampis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Elizabeth Ryan, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 |