Individual
BENJAMIN DUNCAN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 RANCHEROS DR, SAN MARCOS, CA 92069-2900
(760) 744-3672
Mailing address
1350 MORNING VIEW DR, ESCONDIDO, CA 92026-4264
(858) 880-8704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
03/01/2013
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