Most Relevant Information
Provider Data
| NPI Number: | 1003247677 |
| Provider Name: | JENNIFER ROACH MA, LCMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LH61155476 |
Most Important Dates
| Enumeration Date: | 12/09/2013 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
342 S 850 W APT 306
AMERICAN FORK
UT
840034654
Practice Location Phone/Fax
| Phone: | 2064277754 |
| Fax: | 4252585275 |
Provider Mailing Location
132 E SEGO LILY DR APT 110
SANDY
UT
840704260
Provider Mailing Phone/Fax
| Phone: | 2064277754 |
| Fax: |