Individual
KARISSA JANE KRAUTWURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CASAC
Contact information
Practice address
150 MOUNT HOPE AVE, ROCHESTER, NY 14620-1016
(585) 287-5626
Mailing address
9 BRUSH HOLLOW RD, ROCHESTER, NY 14626-3003
(585) 748-4721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35601
NY
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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