EVAN MICHAEL ROSEN

STATEN ISLAND, NY
NPI1811537657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  36138)
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
Mr. EVAN MICHAEL ROSEN CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
Mailing Address
Mr. EVAN MICHAEL ROSEN CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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