Provider Demographics
NPI:1982255899
Name:CATLIN-RAKOSKI, STEPHANIE JANET (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:JANET
Last Name:CATLIN-RAKOSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1061
Mailing Address - Country:US
Mailing Address - Phone:585-414-3894
Mailing Address - Fax:
Practice Address - Street 1:1387 FAIRPORT RD BLDG 500
Practice Address - Street 2:STE 540
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450
Practice Address - Country:US
Practice Address - Phone:585-414-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health