National Provider Identifier
Jerry Collado, CASAC
Jerry Collado, 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) 729-7883.
Profile Overview
- NPI
- 1588863922
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- July 16, 2007
- Last Updated
- July 16, 2007
Practice Location
- 46 Prince St
- Rochester, NY 14607-1023
Phone: (585) 729-7883
Mailing Address
- 3512 Atlantic Ave
- Penfield, NY 14526-1808
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1588863922
- Entity Type
- Individual
- Last Name
- Collado
- First Name
- Jerry
- Name Prefix
- Mr.
- Credential
- CASAC
- Provider Other Last Name
- Collado
- Provider Other First Name
- Jerry
- Provider Other Name Prefix Text
- Mr.
- Provider Other Credential Text
- CASAC
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 3512 Atlantic Ave
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1808
- Mailing Country
- US
- Mailing Phone
- (585) 729-7883
- Practice Street Address
- 46 Prince St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1023
- Practice Country
- US
- Practice Phone
- (585) 729-7883
- Enumeration Date
- July 16, 2007
- Last Updated
- July 16, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)