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Individual

DONNEST BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
55 TROUP ST, ROCHESTER, NY 14608-2053
(585) 546-1271
(585) 546-2607
Mailing address
55 TROUP ST, ROCHESTER, NY 14608-2053
(585) 546-1271
(585) 546-2607

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20525
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20525
OASAS
NY
Enumeration date
03/24/2017
Last updated
03/24/2017
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