person
Kawanza Roach
Addiction (Substance Use Disorder) Counselor in Dallas, Georgia
NPI 1891230579

Kawanza Roach is an Addiction (Substance Use Disorder) Counselor based in Dallas, GA and is specialized in Addiction (Substance Use Disorder). Kawanza Roach practices in Dallas, GA. The NPI Number for Kawanza Roach is 1891230579 and holds a License No. (Georgia).

The current practice location address for Kawanza Roach is 233 Silver Spring St, Dallas, GA and can be reached out via phone at 678-670-9639.

Location: 233 Silver Spring St, Dallas, GA, 30157-8289
person
Provider Profile Details
NPI Number
1891230579
Provider Name
Kawanza Roach
Credential
Provider Entity Type
Individual
Gender
Female
Address
233 Silver Spring St, Dallas, GA, 30157-8289
Phone Number
678-670-9639
Fax Number
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
233 Silver Spring St
City
State
Zip
30157-8289
Phone Number
678-670-9639
Fax Number
person
Provider Business Mailing Address Details
Address
233 Silver Spring St
City
State
Zip
30157-8289
Phone Number
678-670-9639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
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