Individual
MRS. CHRISTINA LEE TAILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
294 CROMWELL DR, ROCHESTER, NY 14610-3106
(585) 506-5496
Mailing address
294 CROMWELL DR, ROCHESTER, NY 14610-3106
(585) 506-5496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004359-01
NY
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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