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Mr. Dean Elmer Roach
Peer Specialist in Canton, Ohio
NPI 1609592609

Dean Elmer Roach is a Peer Specialist based in Canton, OH. Dean Elmer Roach practices in Canton, OH. The NPI Number for Dean Elmer Roach is 1609592609 and holds a License No. (Ohio).

The current practice location address for Dean Elmer Roach is 3311 12Th St Nw, Canton, OH and can be reached out via phone at 330-413-4107. You can also correspond with Dean Elmer Roach through the mailing address at 3311 12TH ST NW, CANTON, OH - 44708-3909 (mailing address contact number: 330-413-4107).

Location: 3311 12Th St Nw, Canton, OH, 44708-3909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609592609
Provider Name
Dean Elmer Roach
Credential
Provider Entity Type
Individual
Gender
Male
Address
3311 12Th St Nw, Canton, OH, 44708-3909
Phone Number
330-413-4107
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3311 12Th St Nw
City
Canton
State
Ohio
Zip
44708-3909
Phone Number
330-413-4107
Fax Number
person
Provider Business Mailing Address Details
Address
3311 12Th St Nw
City
Canton
State
Ohio
Zip
44708-3909
Phone Number
330-413-4107
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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