Individual
CARLY ALEXANDRA ST JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
687 LEE RD STE 250, ROCHESTER, NY 14606-4257
(585) 237-8170
Mailing address
1143 WASHINGTON ST, SPENCERPORT, NY 14559-9731
(585) 237-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008434
NY
Other
Enumeration date
05/23/2016
Last updated
07/05/2023
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