Provider Demographics
NPI:1851044135
Name:ALEXANDER, VERONICA RACHEL (CASAC LL)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:RACHEL
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CASAC LL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HUTHER DOYLE
Mailing Address - Street 2:360 EAST AVENUE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604
Mailing Address - Country:US
Mailing Address - Phone:585-325-5100
Mailing Address - Fax:
Practice Address - Street 1:165 FIELD ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1943
Practice Address - Country:US
Practice Address - Phone:585-456-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)