National Provider Identifier

Carla Leaks, CASAC CRC

Carla Leaks, CASAC CRC 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) 546-3046.

NPI 1225561616Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1225561616
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 04, 2017
Last Updated
April 04, 2017

Practice Location

  • 55 Troup St
  • Rochester, NY 14608-2053

Phone: (585) 546-3046

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1225561616
Entity Type
Individual
Last Name
Leaks
First Name
Carla
Credential
CASAC CRC
Mailing Street Address
55 Troup St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2053
Mailing Country
US
Practice Street Address
55 Troup St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2053
Practice Country
US
Practice Phone
(585) 546-3046
Practice Fax
(585) 546-2607
Enumeration Date
April 04, 2017
Last Updated
April 04, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)