Individual provider · Type 1 NPI

Jackson Roach

Mental Health Counselor · San Jose, CA

NPI number 1992368104 Active

Practice location

452 S 1st St
San Jose, CA 95113-2815

Call (408) 841-4319 Map

Fax (408) 286-3855

Mailing address

PO Box 127
Napa, CA 94559-0127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992368104

Jackson Roach's National Provider Identifier is 1992368104, issued on Apr 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Apr 15, 2019.