Individual
CAELAN HOLCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
300 HYLAN DR STE 6, ROCHESTER, NY 14623-4216
(585) 201-8418
(844) 792-8133
Mailing address
38 JERSEY ST, ROCHESTER, NY 14609-7222
(585) 489-8960
(844) 792-1833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013063
NY
101YM0800X
Mental Health Counselor
P107024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013063
DIVISION OF PROFESSIONAL LICENSING SERVICES
NY
01
—
P107024
DIVISION OF PROFESSIONAL LICENSING SERVICES
NY
Enumeration date
12/30/2020
Last updated
03/06/2023
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