Brennon Roth
Brennon Roth is a Professional Counselor in North Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
1890 Waite St Ste 1North Bend, OR 97459-1229
Phone: (541) 756-6232
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence C6849 (OR) |
|---|
Record details
| NPI number | 1881325116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 17, 2022 |
| Last updated in NPPES | August 1, 2023 |
| Certification date | August 1, 2023 |
| Mailing address | 1890 Waite St Ste 1, North Bend, OR 97459-1229 |
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