Individual
TERESA L. ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 S HIGLEY RD STE 103, MESA, AZ 85206-3449
(480) 641-1165
(641) 902-6480
Mailing address
8725 E HOBART ST, MESA, AZ 85207-4107
(480) 937-6766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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