Individual provider · Type 1 NPI

Genesis Roque, MS, LAPC

Professional Counselor · Hazleton, PA

NPI number 1659057370 Active

Practice location

750 E Broad St
Hazleton, PA 18201-6835

Mailing address

4 Rittenhouse Pl
Drums, PA 18222-2744

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPC000752 (PA)

Professional Counselor: Definition to come...

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About NPI 1659057370

Genesis Roque, MS, LAPC's National Provider Identifier is 1659057370, issued on Jun 27, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hazleton, PA. The record was last updated on Mar 16, 2026.