Individual provider · Type 1 NPI

Timothy Charles Rosenboom, M. DIV.

Addiction (Substance Use Disorder) Counselor · Cassopolis, MI

NPI number 1861560195 Active

Practice location

960 E State St
Cassopolis, MI 49031-9339

Call (269) 476-9781 Map

Fax (269) 476-9783

Mailing address

8848 Kephart Ln
Berrien Springs, MI 49103-1440

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X140001 (MI)

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

21 other providers at this address

About NPI 1861560195

Timothy Charles Rosenboom, M. DIV.'s National Provider Identifier is 1861560195, issued on Dec 4, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cassopolis, MI. The record was last updated on Jul 8, 2007.