Johnathan Shane Roach
NPI #1124755715 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1124755715
- Entity Type
- Individual
- Name
- Johnathan Shane Roach
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 3, 2022
- Last Updated
- Jul 22, 2025
Practice Location
- Address
- 2607 CADDO ST STE 6
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71923-5307
- Phone
- (870) 230-8217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Case Manager/Care Coordinator |
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