Individual
AQUELLA DESKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
2561 LAC DE VILLE BLVD FL 1, ROCHESTER, NY 14618-5645
(585) 230-2117
Mailing address
3104 ELMWOOD AVE APT 8, ROCHESTER, NY 14618-2026
(716) 830-1632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007479
NY
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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