Individual
TINA CIPOLLA-YOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 627-1777
Mailing address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 627-1777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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