Individual
MADALIN ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
406 BLANKENBAKER PKWY, LOUISVILLE, KY 40243-1881
(502) 749-9029
Mailing address
406 BLANKENBAKER PKWY, LOUISVILLE, KY 40243-1881
(502) 749-9029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
289469
KY
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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