Individual
MR. JOHN BERNARD ROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC, CIP
Contact information
Practice address
515 MADISON AVE FL 13, NEW YORK, NY 10022-5403
(212) 838-0044
Mailing address
515 MADISON AVE FL 13, NEW YORK, NY 10022-5403
(212) 838-0044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34611T
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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