NPI 1003270349

Todd Gerome Mix, LMSW

Practitioner Mental Health Counselor Rochester, NY

Practice location

Address: 490 E Ridge Rd, Rochester, NY 14621-1229
Phone: (585) 922-2570

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 088157-1 (NY)

Other Counselor providers in New York →

Registry record

NPI: 1003270349
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2016
Record last updated: 13 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.