Individual
MR. ANTHONY JOHN ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3217 COHASSET RD, CHICO, CA 95973-5404
(530) 891-2986
Mailing address
3217 COHASSET RD, CHICO, CA 95973-5404
(530) 891-2986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW20399
CA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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