Provider Demographics
NPI:1801261268
Name:JEWELL DAUS, ROSIMAR (LMFT)
Entity type:Individual
Prefix:
First Name:ROSIMAR
Middle Name:
Last Name:JEWELL DAUS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1461 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6348
Mailing Address - Country:US
Mailing Address - Phone:646-552-5554
Mailing Address - Fax:
Practice Address - Street 1:1461 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6348
Practice Address - Country:US
Practice Address - Phone:646-552-5554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2139106H00000X
CT3196106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist