National Provider Identifier
Mary Blomgren, CASAC.LMHC
Mary Blomgren, CASAC.LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (315) 331-2300.
Profile Overview
- NPI
- 1003347626
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 24, 2017
- Last Updated
- January 25, 2023
Practice Location
- 79 N Clinton Ave
- Rochester, NY 14604-1407
Phone: (315) 331-2300
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1003347626
- Entity Type
- Individual
- Last Name
- Blomgren
- First Name
- Mary
- Credential
- CASAC.LMHC
- Mailing Street Address
- 79 N Clinton Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1407
- Mailing Country
- US
- Mailing Phone
- (585) 397-4648
- Practice Street Address
- 79 N Clinton Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1407
- Practice Country
- US
- Practice Phone
- (315) 331-2300
- Enumeration Date
- March 24, 2017
- Last Updated
- January 25, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 15, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)