Individual
ANGELICA ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105
(323) 543-2800
Mailing address
11027 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2431
(818) 985-8323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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