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Mr. John David Roach JR.
Mental Health Counselor in Fort Pierce, Florida
NPI 1962863811

John David Roach JR. is a Mental Health Counselor based in Port Saint Lucie, FL and is specialized in Mental Health. John David Roach JR. practices in Fort Pierce, FL. The NPI Number for John David Roach JR. is 1962863811 and holds a License No. (Florida).

The current practice location address for John David Roach JR. is 2814 S Us Highway 1 Ste D4, Fort Pierce, FL and can be reached out via phone at 772-489-4726.

Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL, 34984-8953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962863811
Provider Name
John David Roach JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2814 S Us Highway 1 Ste D4, Fort Pierce, FL, 34984-8953
Phone Number
772-489-4726
Fax Number
Provider Enumeration Date
03/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2814 S Us Highway 1 Ste D4
City
Fort Pierce
State
Florida
Zip
34982-8110
Phone Number
772-489-4726
Fax Number
person
Provider Business Mailing Address Details
Address
2814 S Us Highway 1 Ste D4
City
Fort Pierce
State
Florida
Zip
34982-8110
Phone Number
772-489-4726
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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