Individual provider · Type 1 NPI

Rosan Ericksen, CADC II

Addiction (Substance Use Disorder) Counselor · San Jacinto, CA

NPI number 1699803171 Active

Practice location

607 Donna Way
San Jacinto, CA 92583-5517

Fax (951) 487-2448

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRA835700 (CA)

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

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About NPI 1699803171

Rosan Ericksen, CADC II's National Provider Identifier is 1699803171, issued on Feb 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jacinto, CA. The record was last updated on Jul 8, 2007.