Provider Demographics
NPI:1891251880
Name:DOWNEY, ROCHELLE (BA, CASAC)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:BA, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 NYE RD
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:14489-9133
Mailing Address - Country:US
Mailing Address - Phone:315-946-5722
Mailing Address - Fax:315-946-7019
Practice Address - Street 1:7376 ROUTE 31
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:NY
Practice Address - Zip Code:14489-9172
Practice Address - Country:US
Practice Address - Phone:315-946-7107
Practice Address - Fax:315-946-7109
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)