Individual
CHAUNTE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N TELEGRAPH RD DEPT 32E, PONTIAC, MI 48341-1032
(317) 820-9332
Mailing address
1200 N TELEGRAPH RD DEPT 32E, PONTIAC, MI 48341-1032
(317) 820-9332
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704420758
MI
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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