person
Mr. Timothy Charles Rosenboom, MDIV
Addiction (Substance Use Disorder) Counselor in Cassopolis, Michigan
NPI 1861560195

Timothy Charles Rosenboom is an Addiction (Substance Use Disorder) Counselor based in Berrien Springs, MI and is specialized in Addiction (Substance Use Disorder). Timothy Charles Rosenboom practices in Cassopolis, MI and has the professional credentials of MDIV. The NPI Number for Timothy Charles Rosenboom is 1861560195 and holds a License No. 140001 (Michigan).

The current practice location address for Timothy Charles Rosenboom is 960 E State St, Cassopolis, MI and can be reached out via phone at 269-476-9781 and via fax at 269-476-9783.

Location: 960 E State St, Cassopolis, MI, 49103-1440
person
Provider Profile Details
NPI Number
1861560195
Provider Name
Timothy Charles Rosenboom
Credential
MDIV
Provider Entity Type
Individual
Gender
Male
Address
960 E State St, Cassopolis, MI, 49103-1440
Phone Number
269-476-9781
Fax Number
269-476-9783
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
960 E State St
City
State
Zip
49031-9339
Phone Number
269-476-9781
Fax Number
269-476-9783
person
Provider Business Mailing Address Details
Address
960 E State St
City
State
Zip
49031-9339
Phone Number
269-476-9781
Fax Number
269-476-9783
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
140001 (Michigan)
Definition
Definition to come...
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