Individual
KAITLEE DERX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6539 ANTHONY DR, VICTOR, NY 14564-1441
(585) 398-8835
Mailing address
94 FOREST MEADOW TRL, ROCHESTER, NY 14624-1137
(716) 307-8403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
02/14/2024
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