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Individual

CAROLINE YAJAIRA ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC, LPC

Contact information

Practice address
15 ENGLE ST, ENGLEWOOD, NJ 07631-2936
(201) 894-1224
Mailing address
15 ENGLE STREET, 15 ENGLE STREET, ENGLEWOOD, NJ 07631
(201) 894-1224

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00192700
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00606900
NJ

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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