National Provider Identifier

Johnny Cole SR., CASAC

Johnny Cole SR., 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) 719-8523.

NPI 1548793482Rochester, NYAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated April 07, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1548793482
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 07, 2017
Last Updated
April 07, 2017

Practice Location

  • 24 Jones Ave
  • Rochester, NY 14608-1252

Phone: (585) 719-8523

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Full Record
NPI
1548793482
Entity Type
Individual
Last Name
Cole
First Name
Johnny
Name Suffix
SR.
Credential
CASAC
Mailing Street Address
24 Jones Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1252
Mailing Country
US
Mailing Phone
(585) 719-8523
Mailing Fax
(585) 719-8526
Practice Street Address
24 Jones Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1252
Practice Country
US
Practice Phone
(585) 719-8523
Practice Fax
(585) 719-8526
Enumeration Date
April 07, 2017
Last Updated
April 07, 2017
Sex
Male
Sole Proprietor
No
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)