Individual provider · Type 1 NPI
Ivan Jeremy De la Rosa
Mental Health Counselor · Brooklyn, NY
NPI number
1679486443
Active
Practice location
1623 Kings Hwy
Brooklyn, NY 11229-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679486443
Ivan Jeremy De la Rosa's National Provider Identifier is 1679486443, issued on Sep 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 23, 2026.