Individual
JAMES EARL ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 GREEN ST, WARNER ROBINS, GA 31093
(478) 988-1222
Mailing address
83 GREEN ST, WARNER ROBINS, GA 31093-2635
(478) 988-1222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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