Individual
SUSAN MAY BACHORIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
5700 W. GENESEE ST, SUITE 118, CAMILLUS, NY 13031
(315) 488-1641
(315) 488-1655
Mailing address
5700 W. GENESEE ST, SUITE 118, CAMILLUS, NY 13031
(315) 488-1641
(315) 488-1655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
103848
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069610
BCBS
VT
Enumeration date
10/18/2006
Last updated
12/01/2010
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