Individual
ERIC HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
556 CLINTON AVE S, ROCHESTER, NY 14620-1105
(585) 442-8422
Mailing address
186 COTTAGE ST, ROCHESTER, NY 14608-2917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3360
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34951
NY
175T00000X
Peer Specialist
3360
NY
Other
Enumeration date
09/25/2019
Last updated
11/19/2021
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