Individual
FRED ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
139 W 93RD ST APT 3A, NEW YORK, NY 10025-7542
(917) 860-2874
Mailing address
139 W 93RD ST APT 3A, NEW YORK, NY 10025-7542
(917) 860-2874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17744
NY
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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