Individual
RICHARD MARTHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1150 UNIVERSITY AVE, SUITE 7, ROCHESTER, NY 14607-1647
(585) 442-8422
(585) 442-8494
Mailing address
1150 UNIVERSITY AVE, SUITE 7, ROCHESTER, NY 14607-1647
(585) 442-8422
(585) 442-8494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03008239
—
NY
Enumeration date
03/28/2011
Last updated
03/28/2011
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