National Provider Identifier

Eric Haines

Eric Haines 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) 442-8422.

NPI 1740831254Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1740831254
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
September 25, 2019
Last Updated
November 19, 2021

Practice Location

  • 556 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 442-8422

Mailing Address

  • 186 Cottage St
  • Rochester, NY 14608-2917

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Counselor (101Y00000X)
  • Peer Specialist (175T00000X)
Full Record
NPI
1740831254
Entity Type
Individual
Last Name
Haines
First Name
Eric
Mailing Street Address
186 Cottage St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2917
Mailing Country
US
Practice Street Address
556 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1105
Practice Country
US
Practice Phone
(585) 442-8422
Enumeration Date
September 25, 2019
Last Updated
November 19, 2021
Sex
Male
Sole Proprietor
No
Certification Date
November 19, 2021
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Counselor (101Y00000X), Peer Specialist (175T00000X)