National Provider Identifier

Kellie Lynn Gatson, MSW

Kellie Lynn Gatson, MSW is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 922-2500.

NPI 1114439247Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1114439247
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 30, 2017
Last Updated
October 30, 2017

Practice Location

  • 490 E Ridge RD
  • Rochester, NY 14621-1229

Phone: (585) 922-2500

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1114439247
Entity Type
Individual
Last Name
Gatson
First Name
Kellie
Middle Name
Lynn
Credential
MSW
Mailing Street Address
490 E Ridge RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-1229
Mailing Country
US
Mailing Phone
(585) 922-2500
Mailing Fax
(585) 922-2710
Practice Street Address
490 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1229
Practice Country
US
Practice Phone
(585) 922-2500
Practice Fax
(585) 922-2710
Enumeration Date
October 30, 2017
Last Updated
October 30, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)