person
Chase Brad Girvin, LMHC
Mental Health Counselor in Rochester, New York
NPI 1003103052

Chase Brad Girvin is a Mental Health Counselor based in Freehold, NY and is specialized in Mental Health. Chase Brad Girvin practices in Rochester, NY and has the professional credentials of LMHC. The NPI Number for Chase Brad Girvin is 1003103052 and holds a License No. 30537 (New York).

The current practice location address for Chase Brad Girvin is 786 Hidden Valley Rd, Rochester, NY and can be reached out via phone at 347-948-6402.

Location: 786 Hidden Valley Rd, Rochester, NY, 07728-4036
person
Provider Profile Details
NPI Number
1003103052
Provider Name
Chase Brad Girvin
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
786 Hidden Valley Rd, Rochester, NY, 07728-4036
Phone Number
347-948-6402
Fax Number
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00695941 05 NY
institution
Provider Business Practice Location Address Details
Address
786 Hidden Valley Rd
City
State
Zip
14624-2304
Phone Number
347-948-6402
Fax Number
person
Provider Business Mailing Address Details
Address
786 Hidden Valley Rd
City
State
Zip
14624-2304
Phone Number
347-948-6402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37PC00950300 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
30537 (New York)
Definition
Definition to come...
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