National Provider Identifier
Ida Rockwell-Kettles
Ida Rockwell-Kettles is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 200-7106.
Source: public NPPES record, last updated October 15, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1568034452
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 12, 2021
- Last Updated
- October 15, 2021
Practice Location
- 510 Clinton Sq
- Rochester, NY 14604-1700
Phone: (585) 200-7106
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Ida Rockwell-Kettles is a Rochester, New York-based mental health counselor licensed in New York. Public professional information beyond registry-level credentialing is limited, and no well-supported health-system biography, faculty appointment, training profile, or board-certification record was found in public sources.
Full Record
- NPI
- 1568034452
- Entity Type
- Individual
- Last Name
- Rockwell-Kettles
- First Name
- Ida
- Mailing Street Address
- 510 Clinton Sq
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1700
- Mailing Country
- US
- Mailing Phone
- (585) 204-0381
- Mailing Fax
- (973) 253-4500
- Practice Street Address
- 510 Clinton Sq
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1700
- Practice Country
- US
- Practice Phone
- (585) 200-7106
- Enumeration Date
- July 12, 2021
- Last Updated
- October 15, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 15, 2021
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 1568034452 (NY, Insurance)