KENNETH J ROCHE

EAST ISLIP, NY
NPI1578862728
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  004685-1)
Enumeration Date2011-03-26
Last Update Date2021-02-23
Business Address
Mr. KENNETH J ROCHE LMHC
200 CARLETON AVE STE D
EAST ISLIP, NY 11730-1222
Phone number: 631-579-3503
Mailing Address
Mr. KENNETH J ROCHE LMHC
74 BEAVER DAM RD
ISLIP, NY 11751-1935
Phone number: 631-235-4481