Individual
ENID ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC
Contact information
Practice address
1565 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7723
Mailing address
1565 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
072473
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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