Individual provider · Type 1 NPI

Kenneth David Roach, LCMHC

Professional Counselor · Salt Lake City, UT

NPI number 1619189628 Active

Practice location

4190 S Highland Dr Ste 210
Salt Lake City, UT 84124-2674

Call (801) 792-7028 Map

Mailing address

1131 Loch Lomond Way
Salt Lake City, UT 84117-4974

Other practice locations

  • 451 E 1000 S Ste B, Pleasant Grove, UT 84062-3735 · (801) 792-7028

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4909154-6004 (UT)
Professional Counselor Primary 101YP2500X4909154-6004 (UT)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1619189628

Kenneth David Roach, LCMHC's National Provider Identifier is 1619189628, issued on May 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 10, 2018.