Individual provider · Type 1 NPI
Miryam Maribel Derosso
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1801495197
Active
Practice location
181 Canal St
New York, NY 10013-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801495197
Miryam Maribel Derosso's National Provider Identifier is 1801495197, issued on Oct 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Oct 19, 2020.