Individual provider · Type 1 NPI

Anthony Roach, PC-IT, SW

Professional Counselor · Brown Deer, WI

NPI number 1083968200 Active

Practice location

3900 W Brown Deer Rd, Ste 200
Brown Deer, WI 53209-1220

Call (414) 540-2170 Map

Fax (414) 540-2171

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1281-226 (WI)
Social Worker 104100000X7196-120 (WI)

Professional Counselor: Definition to come...

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About NPI 1083968200

Anthony Roach, PC-IT, SW's National Provider Identifier is 1083968200, issued on Nov 9, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brown Deer, WI. The record was last updated on Nov 9, 2012.