Healthcare Provider Details

I. General information

NPI: 1811930597
Provider Name (Legal Business Name): VICTORIA LYNN ROFF CAS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2745 MARSHALL WAY
SACRAMENTO CA
95818-3523
US

IV. Provider business mailing address

2745 MARSHALL WAY
SACRAMENTO CA
95818-3523
US

V. Phone/Fax

Practice location:
  • Phone: 916-202-2302
  • Fax:
Mailing address:
  • Phone: 916-202-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: