Individual provider · Type 1 NPI
Kawanza Roach
Addiction (Substance Use Disorder) Counselor · Dallas, GA
NPI number
1891230579
Active
Practice location
233 Silver Spring St
Dallas, GA 30157-8289
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 1891230579
Kawanza Roach's National Provider Identifier is 1891230579, issued on Jan 4, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, GA. The record was last updated on Jan 4, 2017.