Individual
THERESA DEC ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
4001 OFFICE COURT DR, SANTA FE, NM 87507-4929
(602) 316-6058
Mailing address
3201 ZAFARANO DR STE C #232, SANTA FE, NM 87507
(602) 316-6058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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