National Provider Identifier

Jacqueline Verdura, MA, LMHC, CASAC-T

Jacqueline Verdura, MA, LMHC, CASAC-T is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 590-2149.

NPI 1619348943Rochester, NYMental Health Counselor

Profile Overview

NPI
1619348943
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 13, 2015
Last Updated
October 13, 2015

Practice Location

  • 19 Williston RD
  • Rochester, NY 14616-4505

Phone: (585) 590-2149

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1619348943
Entity Type
Individual
Last Name
Verdura
First Name
Jacqueline
Credential
MA, LMHC, CASAC-T
Mailing Street Address
19 Williston RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-4505
Mailing Country
US
Mailing Phone
(585) 590-2149
Practice Street Address
19 Williston RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-4505
Practice Country
US
Practice Phone
(585) 590-2149
Enumeration Date
October 13, 2015
Last Updated
October 13, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)