Individual provider · Type 1 NPI

Diane M. Moga-Roach, MSE, LCSW, LPC, CEAP

Professional Counselor · Green Bay, WI

NPI number 1700923471 Active

Practice location

2733 S Ridge Rd
Green Bay, WI 54304-5513

Call (920) 497-6200 Map

Fax (920) 497-3135

Mailing address

W5488 Quarry Rd
Appleton, WI 54913-9790

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1849-125 (WI)
Clinical Social Worker 1041C0700X3562-123 (WI)

Professional Counselor: Definition to come...

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About NPI 1700923471

Diane M. Moga-Roach, MSE, LCSW, LPC, CEAP's National Provider Identifier is 1700923471, issued on Jan 31, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Sep 11, 2025.