Individual
ROSE SPARKLE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED CASAC
Contact information
Practice address
760 E 160TH ST, BASEMENT, BRONX, NY 10456-7898
(646) 224-7128
Mailing address
760 E 160TH ST FL 2, BRONX, NY 10456-7898
(646) 224-7128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23741
NY
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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