Individual
BENJAMIN HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1099 JAY ST, SUITE 202, ROCHESTER, NY 14611-1153
(585) 865-1550
Mailing address
1099 JAY ST, ROCHESTER, NY 14611-1153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36700
NY
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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