Individual provider · Type 1 NPI
Rosette Lacrecia Randall, LMSW
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1124237623
Active
Practice location
119 W 124th St, 6th Floor
New York, NY 10027-4920
Fax (212) 865-2491
Mailing address
1655 Flatbush Ave
Brooklyn, NY 11210-3276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 066766-1 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124237623
Rosette Lacrecia Randall, LMSW's National Provider Identifier is 1124237623, issued on May 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.