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Malaika Roach, CASACADV,CPRA
Addiction (Substance Use Disorder) Counselor in Jamaica, New York
NPI 1720767569

Malaika Roach is an Addiction (Substance Use Disorder) Counselor based in Jamaica, NY and is specialized in Addiction (Substance Use Disorder). Malaika Roach practices in Jamaica, NY and has the professional credentials of CASACADV,CPRA. The NPI Number for Malaika Roach is 1720767569 and holds a License No. 5383 (New York).

The current practice location address for Malaika Roach is 17545 88Th Ave Apt 2B, Jamaica, NY and can be reached out via phone at 718-810-9218.

Location: 17545 88Th Ave Apt 2B, Jamaica, NY, 11432-5703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720767569
Provider Name
Malaika Roach
Credential
CASACADV,CPRA
Provider Entity Type
Individual
Gender
Female
Address
17545 88Th Ave Apt 2B, Jamaica, NY, 11432-5703
Phone Number
718-810-9218
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17545 88Th Ave Apt 2B
City
Jamaica
State
New York
Zip
11432-5703
Phone Number
718-810-9218
Fax Number
person
Provider Business Mailing Address Details
Address
17545 88Th Ave Apt 2B
City
Jamaica
State
New York
Zip
11432-5703
Phone Number
718-810-9218
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
28450 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
EXEMPT (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
5383 (New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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