Individual
NIKKI RENCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
556 CLINTON AVE S, ROCHESTER, NY 14620-1105
(585) 442-8422
(585) 442-8494
Mailing address
6198 STATE ROUTE 21, WILLIAMSON, NY 14589-9283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37529-T
NY
Other
Enumeration date
10/18/2022
Last updated
01/11/2023
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