Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAWANZA ROACH
Active Sole ProprietorKAWANZA ROACH is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DALLAS, Georgia. NPI 1891230579 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DALLAS, GA
Registration Details
- NPI Number
- 1891230579
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2017 (9.5674835980551 yrs)
- Last Updated
- Jan 4, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
233 SILVER SPRING STDALLAS, GA, 301578289Browse GA providers · Browse ZIP 30157
- Phone
- 6786709639
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DALLAS, GA
| Name | Credential | NPI |
|---|---|---|
| MELISSA A HALL | CADC | 1457583544 |
| TIFFANY SHULONDA MITCHELL | CADCII, ICADC | 1699497784 |
| JEANINE CARSON | — | 1184408312 |
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.