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Individual

JANIQUE ROSA

Active
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Individual

JANIQUE ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, CASAC 2

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker
Primary
082910
NY

Other

Enumeration date
03/27/2017
Last updated
03/02/2026
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