Individual
JANELLA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSUDC
Contact information
Practice address
1472 E 820 N, OREM, UT 84097-5481
(801) 226-1227
Mailing address
3268 E 1350 S, SPANISH FORK, UT 84660-3133
(801) 900-1291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11569647-6005
UT
Other
Enumeration date
07/27/2023
Last updated
08/03/2023
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