Individual
NICOLE A ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 N HAYDEN RD STE 105, SCOTTSDALE, AZ 85251-6766
(602) 679-4548
Mailing address
8010 E MORGAN TRL STE 5, SCOTTSDALE, AZ 85258-1234
(602) 679-4548
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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