Individual
DR. DOUGLAS KEITH ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
195 HUNT ST, DRESDEN, TN 38225-1851
(731) 364-3739
Mailing address
195 HUNT ST, DRESDEN, TN 38225-1851
(731) 364-3739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0003450
FL
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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