Individual
ANNA ELISABET CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, CASAC
Contact information
Practice address
2613 W HENRIETTA RD, ROCHESTER, NY 14623-2327
(585) 276-9233
Mailing address
193 ARAGON AVE, ROCHESTER, NY 14622-1650
(814) 598-5309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35414
NY
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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