National Provider Identifier

John Wetherwax, MS

John Wetherwax, MS is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 835-4011.

NPI 1114185030Buffalo, NYMental Health Counselor

Profile Overview

NPI
1114185030
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
May 28, 2008
Last Updated
May 28, 2008

Practice Location

  • 3350 Main St
  • Buffalo, NY 14214-1316

Phone: (716) 835-4011

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1114185030
Entity Type
Individual
Last Name
Wetherwax
First Name
John
Credential
MS
Mailing Street Address
3350 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1316
Mailing Country
US
Practice Street Address
3350 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1316
Practice Country
US
Practice Phone
(716) 835-4011
Practice Fax
(716) 835-0253
Enumeration Date
May 28, 2008
Last Updated
May 28, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)