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NPI Code Detail

MEDICARE: CLARA B PITRE-CHESTNUT LMFT

MEDICARE: CLARA B PITRE-CHESTNUT LMFT
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
1106H00000XMarriage & Family Therapist001323NY

General Provider Information

NPI Number : 1639518756
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARA B PITRE-CHESTNUT LMFT
Provider Business Mailing Address
First Line : 41 WOODMAN PARK
Second Line :
City : ROCHESTER
State : NY
Zip : 14609-3842
Country : US
Telephone Number : 585-420-8691
Fax Number :
Provider Business Practice Location Address
First Line : 2300 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2564
Country : US
Telephone Number : 585-420-8691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 08/27/2025

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