Individual provider · Type 1 NPI

John David Derosa, B.S., CADCII

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1750636643 Active

Practice location

100 E Market St
Long Beach, CA 90805-5924

Fax (562) 428-0372

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA7071011 (CA)

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

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About NPI 1750636643

John David Derosa, B.S., CADCII's National Provider Identifier is 1750636643, issued on Jul 17, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jul 17, 2012.