Individual provider · Type 1 NPI

Desiree Michelle Rose, RADT

Addiction (Substance Use Disorder) Counselor · Reseda, CA

NPI number 1508519174 Active

Practice location

7232 Canby Ave Ste 456
Reseda, CA 91335-3006

Fax (818) 705-8248

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1508519174

Desiree Michelle Rose, RADT's National Provider Identifier is 1508519174, issued on Feb 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Feb 2, 2022.