Individual
MISAEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Mailing address
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401008207
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6401008207
MI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/23/2008
Last updated
02/08/2018
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