person
Larae Roach
Addiction (Substance Use Disorder) Counselor in Batavia, Ohio
NPI 1962914416

Larae Roach is an Addiction (Substance Use Disorder) Counselor based in Batavia, OH and is specialized in Addiction (Substance Use Disorder). Larae Roach practices in Batavia, OH. The NPI Number for Larae Roach is 1962914416 and holds a License No. LCDC.131227-3 (Ohio).

The current practice location address for Larae Roach is 1074 Wasserman Way, Batavia, OH and can be reached out via phone at 513-354-5200.

Location: 1074 Wasserman Way, Batavia, OH, 45103-1911
person
Provider Profile Details
NPI Number
1962914416
Provider Name
Larae Roach
Credential
Provider Entity Type
Individual
Gender
Female
Address
1074 Wasserman Way, Batavia, OH, 45103-1911
Phone Number
513-354-5200
Fax Number
Provider Enumeration Date
10/24/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCDC.131227-3 01 OH LICENSURE
institution
Provider Business Practice Location Address Details
Address
1074 Wasserman Way
City
State
Zip
45103-1911
Phone Number
513-354-5200
Fax Number
person
Provider Business Mailing Address Details
Address
1074 Wasserman Way
City
State
Zip
45103-1911
Phone Number
513-354-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDC.131227-3 (Ohio)
Definition
Definition to come...
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