person
Mr. Kenneth J Roche, LMHC
Mental Health Counselor in East Islip, New York
NPI 1578862728

Kenneth J Roche is a Mental Health Counselor based in Islip, NY and is specialized in Mental Health. Kenneth J Roche practices in East Islip, NY and has the professional credentials of LMHC. The NPI Number for Kenneth J Roche is 1578862728 and holds a License No. 004685-1 (New York).

The current practice location address for Kenneth J Roche is 200 Carleton Ave Ste D, East Islip, NY and can be reached out via phone at 631-579-3503 and via fax at 631-446-1136.

Location: 200 Carleton Ave Ste D, East Islip, NY, 11751-1935
person
Provider Profile Details
NPI Number
1578862728
Provider Name
Kenneth J Roche
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
200 Carleton Ave Ste D, East Islip, NY, 11751-1935
Phone Number
631-579-3503
Fax Number
631-446-1136
Provider Enumeration Date
03/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Carleton Ave Ste D
City
State
Zip
11730-1222
Phone Number
631-579-3503
Fax Number
631-446-1136
person
Provider Business Mailing Address Details
Address
200 Carleton Ave Ste D
City
State
Zip
11730-1222
Phone Number
631-579-3503
Fax Number
631-446-1136
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
004685-1 (New York)
Definition
Definition to come...
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