Individual
MR. KENNETH PHILLIP ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Mailing address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010427
VA
Other
Enumeration date
05/10/2021
Last updated
11/20/2023
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