Individual
AALIYAH BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 PORTLAND AVE, ROCHESTER, NY 14621-2730
(585) 380-6000
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/17/2024
Last updated
05/13/2025
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