person
John David Derosa, BS,CADCII
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1750636643

John David Derosa is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). John David Derosa practices in Long Beach, CA and has the professional credentials of BS,CADCII. The NPI Number for John David Derosa is 1750636643 and holds a License No. A7071011 (California).

The current practice location address for John David Derosa is 100 E Market St, Long Beach, CA and can be reached out via phone at 562-428-4222 and via fax at 562-428-0372.

Location: 100 E Market St, Long Beach, CA, 90805-5924
person
Provider Profile Details
NPI Number
1750636643
Provider Name
John David Derosa
Credential
BS,CADCII
Provider Entity Type
Individual
Gender
Male
Address
100 E Market St, Long Beach, CA, 90805-5924
Phone Number
562-428-4222
Fax Number
562-428-0372
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Market St
City
State
Zip
90805-5924
Phone Number
562-428-4222
Fax Number
562-428-0372
person
Provider Business Mailing Address Details
Address
100 E Market St
City
State
Zip
90805-5924
Phone Number
562-428-4222
Fax Number
562-428-0372
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A7071011 (California)
Definition
Definition to come...
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