Provider Demographics
NPI:1285470963
Name:ROZIN, ANGELIKA (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:ANGELIKA
Middle Name:
Last Name:ROZIN
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-0001
Mailing Address - Country:US
Mailing Address - Phone:929-688-2548
Mailing Address - Fax:
Practice Address - Street 1:24 JEFFERSON CT
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3381
Practice Address - Country:US
Practice Address - Phone:929-688-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013847101YM0800X
NJ37PC01018400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health