Raiyona Roane, LAC
Counselor in Glen Rock, NJ. Individual provider (NPI-1).
NPI number1831783364
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1831783364
- Entity type
- Individual (NPI-1)
- Name
- Raiyona Roane
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2021
- Certification date
- Feb 25, 2021
- Last updated
- Feb 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 37AC00527500 | NJ | Yes |
Practice location
65 Harristown Rd Ste 310Glen Rock, NJ 07452-3356
Phone 732-982-2888
Mailing address
175 E Hawthorn PkwyVernon Hills, IL 60061-1463
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