Provider Demographics
NPI:1013679604
Name:TERSIGNI, MICHAEL JARRETT (CASAC 2)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JARRETT
Last Name:TERSIGNI
Suffix:
Gender:M
Credentials:CASAC 2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MOUNT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-1016
Mailing Address - Country:US
Mailing Address - Phone:585-287-5626
Mailing Address - Fax:585-723-7301
Practice Address - Street 1:150 MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1016
Practice Address - Country:US
Practice Address - Phone:585-287-5626
Practice Address - Fax:585-448-0444
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)