National Provider Identifier
Lisa Ann O'Connor, BSCASACLL
Lisa Ann O'Connor, BSCASACLL 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) 467-2230.
Profile Overview
- NPI
- 1265844633
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 20, 2014
- Last Updated
- May 30, 2019
Practice Location
- 835 W Main St
- Rochester, NY 14611-2335
Phone: (585) 467-2230
Mailing Address
- 2 Broxbourne Dr
- Fairport, NY 14450-1719
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1265844633
- Entity Type
- Individual
- Last Name
- O'Connor
- First Name
- Lisa
- Middle Name
- Ann
- Credential
- BSCASACLL
- Mailing Street Address
- 2 Broxbourne Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1719
- Mailing Country
- US
- Practice Street Address
- 835 W Main St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2335
- Practice Country
- US
- Practice Phone
- (585) 467-2230
- Practice Fax
- (585) 730-6110
- Enumeration Date
- May 20, 2014
- Last Updated
- May 30, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 1073614533 (NY)