Individual provider · Type 1 NPI

Roseann Lasala

Peer Specialist · Riverhead, NY

NPI number 1295522548 Active

Practice location

400 W Main St
Riverhead, NY 11901-2813

Mailing address

417 Clubhouse Ct
Coram, NY 11727-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1295522548

Roseann Lasala's National Provider Identifier is 1295522548, issued on Apr 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverhead, NY. The record was last updated on Apr 21, 2025.