National Provider Identifier

Jacob Andrew Abraham

Jacob Andrew Abraham is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 462-0284.

NPI 1003589433Buffalo, NYMental Health Counselor

Profile Overview

NPI
1003589433
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 30, 2021
Last Updated
July 30, 2021

Practice Location

  • 387 Franklin St
  • Buffalo, NY 14202-1507

Phone: (716) 462-0284

Mailing Address

  • 102 Cumberland Ave
  • Buffalo, NY 14220-1310

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1003589433
Entity Type
Individual
Last Name
Abraham
First Name
Jacob
Middle Name
Andrew
Mailing Street Address
102 Cumberland Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-1310
Mailing Country
US
Mailing Phone
(716) 931-0141
Practice Street Address
387 Franklin St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1507
Practice Country
US
Practice Phone
(716) 462-0284
Practice Fax
(716) 262-0481
Enumeration Date
July 30, 2021
Last Updated
July 30, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
July 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)