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Individual

MS. CHRISTINA M ROACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC, NCC, DCC

Contact information

Practice address
425 S ORLEANS AVE, TAMPA, FL 33606-2139
(813) 784-8952
Mailing address
4207 W GRANADA ST, TAMPA, FL 33629-6616
(813) 784-8952
(813) 839-5333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 11532
FL

Other

Enumeration date
06/17/2013
Last updated
06/17/2013
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