JACKSON ROACH

Counselor - Mental Health

Active Individual
NPI: 1992368104

Practice Address

452 S 1ST ST
San Jose, CA 95113

Phone: (408) 841-4319

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1992368104 is the National Provider Identifier for JACKSON ROACH, a Counselor - Mental Health provider located in San Jose, CA. This NPI was enumerated on April 15, 2019.
JACKSON ROACH practices at 452 S 1ST ST, San Jose, CA 95113.

Quick Facts

NPI
1992368104
Type
Individual
Enumerated
Apr 15, 2019
Last Updated
Apr 15, 2019

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