Individual
JUAN ROSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 430-6249
Mailing address
1413 K ST NW FL 4, WASHINGTON, DC 20005-4577
(681) 443-5138
(681) 443-5138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EA890001
BCBS PARTICIPATING PROVIDER NUMBER:
DC
Enumeration date
08/09/2011
Last updated
07/17/2020
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