National Provider Identifier

Jessica Deloach

Jessica Deloach is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 831-2700.

NPI 1073047833Buffalo, NYMental Health Counselor

Profile Overview

NPI
1073047833
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
April 18, 2017
Last Updated
April 30, 2019

Practice Location

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Phone: (716) 831-2700

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1073047833
Entity Type
Individual
Last Name
Deloach
First Name
Jessica
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Mailing Fax
(716) 831-1818
Practice Street Address
3020 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 831-2700
Enumeration Date
April 18, 2017
Last Updated
April 30, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)