Individual provider · Type 1 NPI

Joan Louise Roesch

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1669191367 Active

Practice location

460 Brielle Ave Bldg H
Staten Island, NY 10314-6427

Call (718) 816-6589 Map

Mailing address

369 Yetman Ave
Staten Island, NY 10307-1821

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37652 (NY)

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

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About NPI 1669191367

Joan Louise Roesch's National Provider Identifier is 1669191367, issued on Aug 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Aug 25, 2022.