Individual provider · Type 1 NPI
Jill M. Roche, SAC-IT
Addiction (Substance Use Disorder) Counselor · Beloit, WI
NPI number
1508649211
Active
Practice location
2240 Prairie Ave
Beloit, WI 53511-2648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20359-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508649211
Jill M. Roche, SAC-IT's National Provider Identifier is 1508649211, issued on Aug 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beloit, WI. The record was last updated on Aug 16, 2023.