National Provider Identifier

Marie Isabel Connelly

Marie Isabel Connelly is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 261-0135.

NPI 1508465014Rochester, NYMental Health Counselor

Profile Overview

NPI
1508465014
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 26, 2020
Last Updated
February 05, 2024

Practice Location

  • 34 Lawnsbury Dr
  • Rochester, NY 14624-5213

Phone: (585) 261-0135

Mailing Address

  • 1060 Broadway # 1125
  • Menands, NY 12204-2507

Specialties

  • Mental Health Counselor (101YM0800X)
  • Behavior Technician (106S00000X)
Full Record
NPI
1508465014
Entity Type
Individual
Last Name
Connelly
First Name
Marie
Middle Name
Isabel
Mailing Street Address
1060 Broadway # 1125
Mailing City
Menands
Mailing State
NY
Mailing ZIP Code
12204-2507
Mailing Country
US
Mailing Phone
(312) 766-6780
Mailing Fax
(312) 261-5080
Practice Street Address
34 Lawnsbury Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-5213
Practice Country
US
Practice Phone
(585) 261-0135
Enumeration Date
October 26, 2020
Last Updated
February 05, 2024
Sex
Female
Sole Proprietor
No
Certification Date
February 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Behavior Technician (106S00000X)