Individual provider · Type 1 NPI

Kenia E. De la Rosa, LMSW

Addiction (Substance Use Disorder) Counselor · Brentwood, NY

NPI number 1275329807 Active

Practice location

452 Suffolk Ave
Brentwood, NY 11717-4214

Fax (631) 524-5542

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X116914-01 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275329807

Kenia E. De la Rosa, LMSW's National Provider Identifier is 1275329807, issued on Apr 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brentwood, NY. The record was last updated on Apr 18, 2025.