Whalio Doctors

NPI 1073562542

Theresa Marie Beach, LCSWR

Practitioner Mental Health Counselor Canandaigua, NY

Practice location

Address
527 N Main St, Canandaigua, NY 14424-1021
Phone
(585) 394-1294
Fax
(585) 394-1294

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence R044998 (NY)

Registry record

NPI
1073562542
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 May 2006
Record last updated
13 Jul 2010

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.