Individual
MICHAEL ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3771 NESCONSET HWY STE 214, SOUTH SETAUKET, NY 11720-1154
(347) 450-1136
(347) 294-4131
Mailing address
1650 SYAMORE AVE, SUITE 39, BOHEMIA, NY 11716
(631) 758-8290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1068
NY
106H00000X
Marriage & Family Therapist
Primary
1068
NY
Other
Enumeration date
04/04/2013
Last updated
10/30/2021
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