person
Dr. Kenneth David Roach, LCMHC
Professional Counselor in Salt Lake City, Utah
NPI 1619189628

Kenneth David Roach is a Professional Counselor based in Salt Lake City, UT and is specialized in Professional. Kenneth David Roach practices in Salt Lake City, UT and has the professional credentials of LCMHC. The NPI Number for Kenneth David Roach is 1619189628 and holds a License No. 4909154-6004 (Utah).

The current practice location address for Kenneth David Roach is 4190 S Highland Dr Ste 210, Salt Lake City, UT and can be reached out via phone at 801-792-7028.

Location: 4190 S Highland Dr Ste 210, Salt Lake City, UT, 84117-4974
person
Provider Profile Details
NPI Number
1619189628
Provider Name
Kenneth David Roach
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
4190 S Highland Dr Ste 210, Salt Lake City, UT, 84117-4974
Phone Number
801-792-7028
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4190 S Highland Dr Ste 210
City
State
Zip
84124-2674
Phone Number
801-792-7028
Fax Number
person
Provider Business Mailing Address Details
Address
4190 S Highland Dr Ste 210
City
State
Zip
84124-2674
Phone Number
801-792-7028
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4909154-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4909154-6004 (Utah)
Definition
Definition to come...
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