Individual
BRYAN CHRISTOPHER ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
37579 N DIANNE LN, NEW BOSTON, MI 48164-8005
(734) 548-5185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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