Individual
CARISSA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
200 E RIVER RD, ROCHESTER, NY 14623-1212
(585) 420-8688
Mailing address
200 E RIVER RD, ROCHESTER, NY 14623-1212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008123
NY
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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