National Provider Identifier
Kaitlee Derx
Kaitlee Derx is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Victor, NY and a listed phone number of (585) 398-8835.
Profile Overview
- NPI
- 1285097931
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 31, 2016
- Last Updated
- February 14, 2024
Practice Location
- 6539 Anthony Dr
- Victor, NY 14564-1441
Phone: (585) 398-8835
Mailing Address
- 94 Forest Meadow Trl
- Rochester, NY 14624-1137
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1285097931
- Entity Type
- Individual
- Last Name
- Derx
- First Name
- Kaitlee
- Mailing Street Address
- 94 Forest Meadow Trl
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1137
- Mailing Country
- US
- Mailing Phone
- (716) 307-8403
- Practice Street Address
- 6539 Anthony Dr
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-1441
- Practice Country
- US
- Practice Phone
- (585) 398-8835
- Enumeration Date
- March 31, 2016
- Last Updated
- February 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)