Individual
MRS. ANDREA ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
68 NETTLECREEK RD, FAIRPORT, NY 14450-3047
(585) 206-8060
Mailing address
PO BOX 821, FAIRPORT, NY 14450-0821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010691
NY
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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