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.
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)