Individual provider · Type 1 NPI

Caroline Yajaira Roach, LCADC, LPC

Mental Health Counselor · Englewood, NJ

NPI number 1114401742 Active

Practice location

15 Engle St
Englewood, NJ 07631-2936

Mailing address

15 Engle Street, 15 Engle Street
Englewood, NJ 07631

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00192700 (NJ)
Mental Health Counselor Primary 101YM0800X37PC00606900 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1114401742

Caroline Yajaira Roach, LCADC, LPC's National Provider Identifier is 1114401742, issued on Sep 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Englewood, NJ. The record was last updated on Sep 19, 2018.