Individual
ADRIENNE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 EL CAMINO AVE APT 120, LAS VEGAS, NV 89102-4223
(702) 366-4424
Mailing address
2900 EL CAMINO AVE APT 120, LAS VEGAS, NV 89102-4223
(702) 366-4424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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