Organization
VENTURA ROACH CAPITAL LLC
Active
Other names
Dramatic Action Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE VENTURA ROACH LPC, RDT (OWNER)
(201) 669-0057
Entity
Organization
Contact information
Practice address
1 BIRCH DR, WALLINGFORD, CT 06492-5210
(201) 669-0057
Mailing address
1 BIRCH DR, WALLINGFORD, CT 06492-5210
(201) 669-0057
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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