Individual provider · Type 1 NPI

Jackie T. Rosado, MA

Mental Health Counselor · Bronx, NY

NPI number 1801078597 Active

Practice location

750 Tilden St
Bronx, NY 10467-6013

Fax (718) 655-3503

Mailing address

750 Tilden Street
Bronx, NY 10467

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801078597

Jackie T. Rosado, MA's National Provider Identifier is 1801078597, issued on Dec 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Dec 4, 2007.