Provider Demographics
NPI:1841095957
Name:ROPER, JUANITA (BS, CADC, CCTSA, CGP)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:
Last Name:ROPER
Suffix:
Gender:F
Credentials:BS, CADC, CCTSA, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 S NEW ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-6715
Mailing Address - Country:US
Mailing Address - Phone:302-504-8500
Mailing Address - Fax:
Practice Address - Street 1:429 S NEW ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6715
Practice Address - Country:US
Practice Address - Phone:302-504-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)