Individual provider · Type 1 NPI
Evan Michael Rosen, CASAC-T
Addiction (Substance Use Disorder) Counselor · Staten Island, NY
NPI number
1811537657
Active
Practice location
460 Brielle Ave
Staten Island, NY 10314-6427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 36138 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811537657
Evan Michael Rosen, CASAC-T's National Provider Identifier is 1811537657, issued on Jan 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jan 9, 2020.