Individual provider · Type 1 NPI
Jennifer Marie Roche, MA
Addiction (Substance Use Disorder) Counselor · Brandon, FL
NPI number
1730654583
Active
Practice location
938 Nina Elizabeth Cir Apt 101
Brandon, FL 33510-4536
Fax (813) 236-7551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730654583
Jennifer Marie Roche, MA's National Provider Identifier is 1730654583, issued on Oct 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brandon, FL. The record was last updated on Oct 9, 2018.