Individual
ROSA FARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 RIVER ST, TROY, NY 12180-1237
(518) 650-2966
Mailing address
1802 8TH ST, RENSSELAER, NY 12144-1411
(518) 650-2966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-T-37598
NY
Other
Enumeration date
02/10/2025
Last updated
02/24/2026
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