Theodore Counseling, Llc | |
295 Main St Rm 1083 Buffalo NY 14203-2510 | |
(716) 517-4297 | |
(716) 259-9035 |
Full Name | Theodore Counseling, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 295 Main St Rm 1083, Buffalo, New York |
Authorized Official Name and Position | Wadeline Theodore (PROVIDER) |
Authorized Official Contact | 7165174297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Theodore Counseling, Llc 295 Main St Rm 1083 Buffalo NY 14203-2510 Ph: (716) 517-4297 | Theodore Counseling, Llc 295 Main St Rm 1083 Buffalo NY 14203-2510 Ph: (716) 517-4297 |
NPI Number | 1043991466 |
---|---|
Provider Enumeration Date | 07/27/2023 |
Last Update Date | 07/31/2023 |
Certification Date | 07/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043991466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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