National Provider Identifier

Marion Ruth Kiekbusch, BA.CASAC

Marion Ruth Kiekbusch, BA.CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 831-1977.

NPI 1144310236Buffalo, NYMental Health Counselor

Profile Overview

NPI
1144310236
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 699 Hertel Ave
  • Suite 350
  • Buffalo, NY 14207-2341

Phone: (716) 831-1977

Mailing Address

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1144310236
Entity Type
Individual
Last Name
Kiekbusch
First Name
Marion
Middle Name
Ruth
Name Prefix
Mrs.
Credential
BA.CASAC
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-1977
Mailing Fax
(716) 831-1985
Practice Street Address
699 Hertel Ave
Practice Address Line 2
Suite 350
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-2341
Practice Country
US
Practice Phone
(716) 831-1977
Practice Fax
(716) 831-1985
Enumeration Date
October 13, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)