National Provider Identifier

Kendall Nelson

Kendall Nelson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (347) 697-5688.

NPI 1023804515Buffalo, NYMental Health Counselor

Profile Overview

NPI
1023804515
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
April 19, 2025
Last Updated
April 23, 2025

Practice Location

  • 30 Elmwood Ave
  • Buffalo, NY 14201-2019

Phone: (347) 697-5688

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1023804515
Entity Type
Individual
Last Name
Nelson
First Name
Kendall
Mailing Street Address
30 Elmwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-2019
Mailing Country
US
Practice Street Address
30 Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-2019
Practice Country
US
Practice Phone
(347) 697-5688
Enumeration Date
April 19, 2025
Last Updated
April 23, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
April 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)