Individual provider · Type 1 NPI

Angel Derose, CASAC

Mental Health Counselor · Rochester, NY

NPI number 1063724482 Active

Practice location

81 Lake Ave
Rochester, NY 14608-1410

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1063724482

Angel Derose, CASAC's National Provider Identifier is 1063724482, issued on Jul 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Jul 14, 2010.