Individual provider · Type 1 NPI
Diana Marie Roach, LPC, CCMHC
Professional Counselor · Newton, NJ
NPI number
1700199361
Active
Practice location
4 Liberty St
Newton, NJ 07860-1710
Mailing address
1 Cobble Hill Rd
Andover, NJ 07821-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00018200 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1700199361
Diana Marie Roach, LPC, CCMHC's National Provider Identifier is 1700199361, issued on Jul 23, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newton, NJ. The record was last updated on Jul 23, 2010.