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Depaul
Addiction (Substance Use Disorder) Counselor in Rochester, New York
NPI 1417949850

Depaul is an Addiction (Substance Use Disorder) Counselor based in Rochester, NY and is specialized in Addiction (Substance Use Disorder). Depaul practices in Rochester, NY. The NPI Number for Depaul is 1417949850 and holds a License No. (New York).

The current practice location address for Depaul is 774 W Main St, Rochester, NY and can be reached out via phone at 585-464-8870 and via fax at 585-464-8077.

Location: 774 W Main St, Rochester, NY, 14624-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417949850
Provider Name
Depaul
Credential
Provider Entity Type
Organization
Address
774 W Main St, Rochester, NY, 14624-1535
Phone Number
585-464-8870
Fax Number
585-464-8077
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00689721 05 NY
institution
Provider Business Practice Location Address Details
Address
774 W Main St
City
Rochester
State
New York
Zip
14611-2331
Phone Number
585-464-8870
Fax Number
585-464-8077
person
Provider Business Mailing Address Details
Address
774 W Main St
City
Rochester
State
New York
Zip
14611-2331
Phone Number
585-464-8870
Fax Number
585-464-8077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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