Individual
CATTIMA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9326 209TH ST, JAMAICA, NY 11428-1048
(347) 761-2745
Mailing address
8787 144TH ST APT 4B, JAMAICA, NY 11435-3257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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