Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH DAVID ROACH, LCMHC
ActiveDR. KENNETH DAVID ROACH, LCMHC is a Professional Counselor healthcare provider located in SALT LAKE CITY, Utah. NPI 1619189628 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1619189628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.273709227807 yrs)
- Last Updated
- Oct 10, 2018
- Licenses
-
4909154-6004 (UT)4909154-6004 (UT)
Practice Information
- Address
-
4190 S HIGHLAND DR STE 210SALT LAKE CITY, UT, 841242674Browse UT providers · Browse ZIP 84124
- Phone
- 8017927028
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MRS. BARBARA ANN MINETTE | LPC | 1962487405 |
| MS. MARTHA LARAINE MINER | LPC | 1871571638 |
| MARSHA A GUSTAFSON | LPC | 1114997319 |
| MR. DON FENNIMORE | LPC | 1376515288 |
| SHAWN RICHARD COOPER | L.P.C. | 1255304481 |
| KARL E SEASHORE | M.S., L.P.C. | 1518934744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.