National Provider Identifier
Lisa Joanna Raetz, BSW, CASAC-T
Lisa Joanna Raetz, BSW, CASAC-T 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.
Profile Overview
- NPI
- 1306379946
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 11, 2017
- Last Updated
- April 11, 2017
Practice Location
- 55 Troup St
- Catholic Family Center
- Rochester, NY 14608-2053
Phone: (585) 546-3046
Mailing Address
- 32 Sudbury Dr
- Rochester, NY 14624-2641
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1306379946
- Entity Type
- Individual
- Last Name
- Raetz
- First Name
- Lisa
- Middle Name
- Joanna
- Name Prefix
- Mrs.
- Credential
- BSW, CASAC-T
- Mailing Street Address
- 32 Sudbury Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-2641
- Mailing Country
- US
- Mailing Phone
- (585) 690-3636
- Practice Street Address
- 55 Troup St
- Practice Address Line 2
- Catholic Family Center
- 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 11, 2017
- Last Updated
- April 11, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)