Most Relevant Information
Provider Data
NPI Number: | 1003538554 |
Provider Name: | ARYA ROERIG CADC 1 |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 1003538554 |
Most Important Dates
Enumeration Date: | 09/12/2022 |
Last Updated: | 06/30/2024 |
Provider Practice Location
12540 SW MAIN ST STE 202
TIGARD
OR
972236198
Practice Location Phone/Fax
Phone: | 5039069995 |
Fax: |
Provider Mailing Location
7015 W 32ND AVE
WHEAT RIDGE
CO
800336260
Provider Mailing Phone/Fax
Phone: | |
Fax: |