Individual
ANNA MARIA DE SPIRITO VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 394-2000
Mailing address
CMR 445 BOX 1017, APO, AE 09046-0011
(494) 431-3362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0101981
NM
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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