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Individual

GERALD ROCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 430-3753
Mailing address
160 BEECHWOOD AVE, PAWTUCKET, RI 02860-5402
(401) 722-5573
(401) 726-5571

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NH
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3078870
NH
05
GH57134
RI
Enumeration date
04/15/2008
Last updated
04/16/2019
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