MICHAEL ROSA

LA MIRADA, CA
NPI1245376144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- MICHAEL ROSA
14240 EAST IMPERIAL HIGHWAY
LA MIRADA, CA 90638
Phone number: 562-946-1587
Mailing Address
-- MICHAEL ROSA
225 7TH STREET APT. B
SEAL BEACH, CA 90740
Phone number:
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