Individual
MR. CARL RENE GYSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
400 FORT HILL AVE, 6A, CANANDAIGUA, NY 14424-1159
(585) 393-7701
(585) 393-8344
Mailing address
293 N PEARL ST, CANANDAIGUA, NY 14424-1432
(585) 393-7701
(585) 393-8344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11206
CASAC
NY
Enumeration date
09/13/2006
Last updated
07/08/2007
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