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Ida Rockwell-kettles
Mental Health Counselor in Rochester, New York
NPI 1568034452

Ida Rockwell-kettles is a Mental Health Counselor based in Rochester, NY and is specialized in Mental Health. Ida Rockwell-kettles practices in Rochester, NY. The NPI Number for Ida Rockwell-kettles is 1568034452 and holds a License No. P108976 (New York).

The current practice location address for Ida Rockwell-kettles is 510 Clinton Sq, Rochester, NY and can be reached out via phone at 585-200-7106.

Location: 510 Clinton Sq, Rochester, NY, 14604-1700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568034452
Provider Name
Ida Rockwell-kettles
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 Clinton Sq, Rochester, NY, 14604-1700
Phone Number
585-200-7106
Fax Number
Provider Enumeration Date
07/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568034452 01 NY INSURANCE
institution
Provider Business Practice Location Address Details
Address
510 Clinton Sq
City
Rochester
State
New York
Zip
14604-1700
Phone Number
585-200-7106
Fax Number
person
Provider Business Mailing Address Details
Address
510 Clinton Sq
City
Rochester
State
New York
Zip
14604-1700
Phone Number
585-200-7106
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P108976 (New York)
Definition
Definition to come...
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