Provider Demographics
NPI:1689380974
Name:ROZENBERG, ARIEL TZVI (LAC)
Entity Type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:TZVI
Last Name:ROZENBERG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1589
Mailing Address - Country:US
Mailing Address - Phone:551-264-1014
Mailing Address - Fax:
Practice Address - Street 1:625 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1589
Practice Address - Country:US
Practice Address - Phone:551-264-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00670100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor