National Provider Identifier

Laura Premo

Laura Premo is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 368-6550.

NPI 1104138759Rochester, NYMental Health Counselor

Profile Overview

NPI
1104138759
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 12, 2010
Last Updated
June 22, 2023

Practice Location

  • 835 W Main St
  • Rochester, NY 14611-2335

Phone: (585) 368-6550

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1104138759
Entity Type
Individual
Last Name
Premo
First Name
Laura
Provider Other Last Name
Peet
Provider Other First Name
Laura
Provider Other Last Name Type Code
1
Mailing Street Address
835 W Main St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-2335
Mailing Country
US
Mailing Phone
(585) 368-6550
Practice Street Address
835 W Main St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-2335
Practice Country
US
Practice Phone
(585) 368-6550
Enumeration Date
July 12, 2010
Last Updated
June 22, 2023
Sex
Female
Sole Proprietor
No
Certification Date
June 22, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)