Individual provider · Type 1 NPI

Jose Antonio Roman, CASAC-T

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1962091215 Active

Practice location

1727 Amsterdam Ave
New York, NY 10031-4611

Mailing address

18 E 199th St Apt 3C
Bronx, NY 10468-1754

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1962091215

Jose Antonio Roman, CASAC-T's National Provider Identifier is 1962091215, issued on Jan 12, 2021. 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 Jan 12, 2021.