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Individual
JOYCE VANESSA ROQUE
Active
Individual
JOYCE VANESSA ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12553
TX
101YP2500X
Professional Counselor
Primary
79166
TX
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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