Individual
JESSICA MARIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 614-8444
Mailing address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 614-8444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3654
NE
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/12/2021
Last updated
04/25/2024
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