Organization
ONTARIO COUNTY SUBSTANCE ABUSE
Active
Other names
Ontario County Substance Abuse Service
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE FISHER (DIRECTOR)
(585) 396-4189
Entity
Organization
Contact information
Practice address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4189
(585) 393-2916
Mailing address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4189
(585) 393-2916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01899687
—
NY
01
—
P0140037OC
BLUE CROSS AND BLUE SHIEL
NY
Enumeration date
07/07/2005
Last updated
08/22/2020
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