National Provider Identifier

Timothy Stevens

Timothy Stevens 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.

NPI 1538704788Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1538704788
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
November 12, 2019
Last Updated
May 28, 2020

Practice Location

  • 556 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 442-8422

Mailing Address

  • 1019 Harvard St
  • Rochester, NY 14610-1713

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1538704788
Entity Type
Individual
Last Name
Stevens
First Name
Timothy
Mailing Street Address
1019 Harvard St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-1713
Mailing Country
US
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
Enumeration Date
November 12, 2019
Last Updated
May 28, 2020
Sex
Male
Sole Proprietor
No
Certification Date
May 28, 2020
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)