Individual
ABIGAIL ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
Mailing address
521 CORAL DR, DYER, IN 46311-1521
(219) 308-1656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001764A
IN
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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