Most Relevant Information
Provider Data
| NPI Number: | 1003283797 |
| Provider Name: | HARLEY T ROEHM |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2015 |
| Last Updated: | 08/28/2015 |
Provider Practice Location
902 W MAIN ST
WEST FRANKFORT
IL
628962210
Practice Location Phone/Fax
| Phone: | 6189376483 |
| Fax: | 6189371440 |
Provider Mailing Location
902 W MAIN ST
WEST FRANKFORT
IL
628962210
Provider Mailing Phone/Fax
| Phone: | 6189376483 |
| Fax: | 6189371440 |