Lookup NPI Numbers from the NPI Registry
NPI Profile for NICOLE VENTURA ROACH in NEW HAVEN, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Drama Therapist |
101200000X |
| NPI Number | 1942049887 |
|
| Status | Active | |
| Credentials | MA, LPC, RDT | |
| Entity | Individual | |
| Enumeration date | 05/21/2024 | |
| Last updated | 05/21/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE VENTURA ROACH
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