Individual
ANDREA MARIE ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
270 HORIZON DR, RALEIGH, NC 27615-4922
(919) 845-0623
(919) 488-1716
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9131
MA
101YP2500X
Professional Counselor
Primary
11747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11747
NC LICENSE
NC
Enumeration date
02/04/2015
Last updated
09/14/2015
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