National Provider Identifier

Miesha Martin

Miesha Martin is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 328-0740.

NPI 1962034074Rochester, NYMental Health Counselor

Profile Overview

NPI
1962034074
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
February 06, 2020
Last Updated
February 06, 2020

Practice Location

  • 1099 Jay St Ste 202
  • Rochester, NY 14611-1153

Phone: (585) 328-0740

Specialties

  • Mental Health Counselor (101YM0800X)

Endpoints

  • miesha.martin@villaofhope.org

    Other Url | Rochester, NY 14611

    Email

Full Record
NPI
1962034074
Entity Type
Individual
Last Name
Martin
First Name
Miesha
Mailing Street Address
1099 Jay St Ste 202
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-1153
Mailing Country
US
Mailing Phone
(585) 328-0740
Practice Street Address
1099 Jay St Ste 202
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-1153
Practice Country
US
Practice Phone
(585) 328-0740
Enumeration Date
February 06, 2020
Last Updated
February 06, 2020
Sex
Female
Sole Proprietor
No
Certification Date
February 06, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)