Individual
MS. SUSAN JEANNE REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4285 W LAKE RD, CANANDAIGUA, NY 14424-8353
(585) 394-0065
Mailing address
4285 W LAKE RD, CANANDAIGUA, NY 14424-8353
(585) 394-0065
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000080
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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