Individual provider · Type 1 NPI

Kenneth J. Roche, LMHC

Mental Health Counselor · East Islip, NY

NPI number 1578862728 Active

Practice location

200 Carleton Ave Ste D
East Islip, NY 11730-1222

Fax (631) 446-1136

Mailing address

74 Beaver Dam Rd
Islip, NY 11751-1935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X004685-1 (NY)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1578862728

Kenneth J. Roche, LMHC's National Provider Identifier is 1578862728, issued on Mar 26, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Islip, NY. The record was last updated on Feb 23, 2021.