| Dr Kenneth David Roach, LCMHC | |
|
4190 S Highland Dr Ste 210, Salt Lake City, UT 84124-2674 | |
| (801) 792-7028 | |
| Not Available |
| Full Name | Dr Kenneth David Roach |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 4190 S Highland Dr Ste 210, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619189628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4909154-6004 (Utah) | Secondary |
| 101YP2500X | Counselor - Professional | 4909154-6004 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth David Roach, LCMHC 1131 Loch Lomond Way, Salt Lake City, UT 84117-4974 Ph: (801) 281-1078 | Dr Kenneth David Roach, LCMHC 4190 S Highland Dr Ste 210, Salt Lake City, UT 84124-2674 Ph: (801) 792-7028 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |