National Provider Identifier

Karissa Jane Krautwurst, BS, CASAC

Karissa Jane Krautwurst, BS, CASAC 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) 287-5626.

NPI 1356103576Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1356103576
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
January 24, 2024
Last Updated
January 24, 2024

Practice Location

  • 150 Mount Hope Ave
  • Rochester, NY 14620-1016

Phone: (585) 287-5626

Mailing Address

  • 9 Brush Hollow RD
  • Rochester, NY 14626-3003

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1356103576
Entity Type
Individual
Last Name
Krautwurst
First Name
Karissa
Middle Name
Jane
Credential
BS, CASAC
Mailing Street Address
9 Brush Hollow RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-3003
Mailing Country
US
Mailing Phone
(585) 748-4721
Practice Street Address
150 Mount Hope Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1016
Practice Country
US
Practice Phone
(585) 287-5626
Enumeration Date
January 24, 2024
Last Updated
January 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)