Provider Demographics
NPI:1073240982
Name:FIGUEROA, ROSEANN C (RADT)
Entity Type:Individual
Prefix:
First Name:ROSEANN
Middle Name:C
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10347 PEACH AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2426
Mailing Address - Country:US
Mailing Address - Phone:818-457-8746
Mailing Address - Fax:
Practice Address - Street 1:10347 PEACH AVE
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2426
Practice Address - Country:US
Practice Address - Phone:818-457-8746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)