National Provider Identifier
Brett Alan Staple
Brett Alan Staple 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) 442-8422.
Profile Overview
- NPI
- 1306425863
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 02, 2021
- Last Updated
- August 30, 2022
Practice Location
- 556 Clinton Ave S
- Rochester, NY 14620-1105
Phone: (585) 442-8422
Mailing Address
- 79 Glenridge RD
- Glenville, NY 12302-4528
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1306425863
- Entity Type
- Individual
- Last Name
- Staple
- First Name
- Brett
- Middle Name
- Alan
- Name Prefix
- Mr.
- Mailing Street Address
- 79 Glenridge RD
- Mailing City
- Glenville
- Mailing State
- NY
- Mailing ZIP Code
- 12302-4528
- Mailing Country
- US
- Mailing Phone
- (585) 368-6900
- Practice Street Address
- 556 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1105
- Practice Country
- US
- Practice Phone
- (585) 442-8422
- Practice Fax
- (585) 442-8494
- Enumeration Date
- April 02, 2021
- Last Updated
- August 30, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 30, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 01420800 (NY)