Individual
ELYSE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 867-0210
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 867-0210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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