Individual
MS. CARLA J ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC, CADAC IV, LCAC
Contact information
Practice address
100 W COURT AVE, SUITE 203, JEFFERSONVILLE, IN 47130-3502
(812) 207-8633
Mailing address
100 W COURT AVE, SUITE 203, JEFFERSONVILLE, IN 47130-3502
(812) 207-8633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000608A
IN
Other
Enumeration date
04/06/2007
Last updated
04/05/2011
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