Individual provider · Type 1 NPI

Ida Rockwell-Kettles

Mental Health Counselor · Rochester, NY

NPI number 1568034452 Active

Practice location

510 Clinton Sq
Rochester, NY 14604-1700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP108976 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1568034452

Ida Rockwell-Kettles's National Provider Identifier is 1568034452, issued on Jul 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Oct 15, 2021.