Provider Demographics
NPI:1356741987
Name:RODIC, ANNE CHRISTINE (LMHC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:CHRISTINE
Last Name:RODIC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:CHRISTINE
Other - Last Name:RODIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:20 OFFICE PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1718
Mailing Address - Country:US
Mailing Address - Phone:585-690-5436
Mailing Address - Fax:
Practice Address - Street 1:20 OFFICE PKWY STE 104
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1718
Practice Address - Country:US
Practice Address - Phone:585-690-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007571-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health