MEDICARE: DR. HEATHER NICOLE PAESSLER-CHESTERTON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	002223	NY

General Provider Information

NPI Number	:	1154969574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER NICOLE PAESSLER-CHESTERTON LMHC

Provider Business Mailing Address
First Line	:	49 BOXWOOD LN
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3752
Country	:	US
Telephone Number	:	714-357-4107
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 ALLENS CREEK RD STE 200
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3310
Country	:	US
Telephone Number	:	585-378-3775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2019
Last Update Date	:	12/16/2019

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