Individual
MS. MONIQUE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6845 INDIANA AVE STE 101, RIVERSIDE, CA 92506-4224
(909) 581-4854
(951) 405-6454
Mailing address
25920 IRIS AVE STE 13A, MORENO VALLEY, CA 92551-1658
(909) 581-4854
(951) 405-6454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
88290
CA
251S00000X
Community/Behavioral Health Agency
Primary
88290
CA
Other
Enumeration date
03/27/2019
Last updated
07/19/2021
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