Individual
ANNA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9465 FARNHAM ST, SAN DIEGO, CA 92123-1308
(909) 983-4466
Mailing address
9465 FARNHAM ST, SAN DIEGO, CA 92123-1308
(909) 983-4466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/08/2007
Last updated
06/28/2023
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