person
Todd Stork
Addiction (Substance Use Disorder) Counselor in Rochester, New York
NPI 1225735160

Todd Stork is an Addiction (Substance Use Disorder) Counselor based in Glenville, NY and is specialized in Addiction (Substance Use Disorder). Todd Stork practices in Rochester, NY. The NPI Number for Todd Stork is 1225735160 and holds a License No. P6377 (New York).

The current practice location address for Todd Stork is 556 Clinton Ave S, Rochester, NY and can be reached out via phone at 585-442-8422 and via fax at 585-442-8494.

Location: 556 Clinton Ave S, Rochester, NY, 12302-4528
person
Provider Profile Details
NPI Number
1225735160
Provider Name
Todd Stork
Credential
Provider Entity Type
Individual
Gender
Male
Address
556 Clinton Ave S, Rochester, NY, 12302-4528
Phone Number
585-442-8422
Fax Number
585-442-8494
Provider Enumeration Date
02/10/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01420800 05 NY
institution
Provider Business Practice Location Address Details
Address
556 Clinton Ave S
City
State
Zip
14620-1105
Phone Number
585-442-8422
Fax Number
585-442-8494
person
Provider Business Mailing Address Details
Address
556 Clinton Ave S
City
State
Zip
14620-1105
Phone Number
585-442-8422
Fax Number
585-442-8494
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P6377 (New York)
Definition
Definition to come...
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