Individual
TAIHRA BRAXTON ROCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
95 NORTH ROUTE 17, SUITE 100, PARAMUS, NJ 07652
(732) 982-2888
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00433700
NJ
101YP2500X
Professional Counselor
Primary
37PC00891200
NJ
Other
Enumeration date
07/29/2020
Last updated
11/05/2024
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