| Theodore Counseling | |
|
295 Main St Rm 1083 Buffalo NY 14203-2510 | |
| (716) 517-4297 | |
| (716) 259-9035 |
| Full Name | Theodore Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 295 Main St Rm 1083, Buffalo, New York |
| Authorized Official Name and Position | Wadeline Theodore (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7162809214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Counseling 295 Main St Rm 1083 Buffalo NY 14203-2510 Ph: (716) 517-4297 | Theodore Counseling 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 | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043991466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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