Individual
JENNIFER ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
777 S MAIN ST STE 100, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Mailing address
777 S MAIN ST STE 100, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002572A
IN
Other
Enumeration date
02/21/2022
Last updated
04/23/2024
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