Individual provider · Type 1 NPI

Malaika Roach, CASAC ADV, CPRA

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1720767569 Active

Practice location

17545 88th Ave Apt 2B
Jamaica, NY 11432-5703

Call (718) 810-9218 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X5383 (NY)
Pastoral Counselor 101YP1600XEXEMPT (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X28450 (NY)

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

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About NPI 1720767569

Malaika Roach, CASAC ADV, CPRA's National Provider Identifier is 1720767569, issued on Jul 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Jul 17, 2023.