Individual
PAUL WENCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2654 RIDGEWAY AVE, ROCHESTER, NY 14626-4209
(585) 723-7350
(585) 723-7353
Mailing address
2654 RIDGEWAY AVE, ROCHESTER, NY 14626-4209
(585) 723-7350
(585) 723-7353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
090423-1
NY
Other
Enumeration date
12/05/2016
Last updated
12/20/2016
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