Todd Gerome Mix, LMSW

NPI #1003270349 in Rochester, New York

Provider Information

NPI Number: 1003270349
Entity Type: Individual
Name: Todd Gerome Mix, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LMSW
Enumeration Date: Apr 13, 2016
Last Updated: Apr 13, 2016

Practice Location

Address: 490 E RIDGE RD
City: Rochester
State: New York
ZIP Code: 14621-1229
Phone: (585) 922-2570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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