National Provider Identifier

Mike Vanderlan

Mike Vanderlan is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 723-7723.

NPI 1972815298Rochester, NYMental Health Counselor

Profile Overview

NPI
1972815298
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 02, 2010
Last Updated
July 02, 2010

Practice Location

  • 1565 Long Pond RD
  • Rochester, NY 14626-4122

Phone: (585) 723-7723

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1972815298
Entity Type
Individual
Last Name
Vanderlan
First Name
Mike
Mailing Street Address
1565 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4122
Mailing Country
US
Mailing Phone
(585) 723-7723
Practice Street Address
1565 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4122
Practice Country
US
Practice Phone
(585) 723-7723
Enumeration Date
July 02, 2010
Last Updated
July 02, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)