National Provider Identifier
Raeanne Fredericks
Raeanne Fredericks is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 856-2587.
Profile Overview
- NPI
- 1154079325
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- March 16, 2022
- Last Updated
- September 07, 2022
Practice Location
- 1050 Niagara St
- Buffalo, NY 14213-2001
Phone: (716) 856-2587
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1154079325
- Entity Type
- Individual
- Last Name
- Fredericks
- First Name
- Raeanne
- Mailing Street Address
- 1050 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2001
- Mailing Country
- US
- Mailing Phone
- (716) 856-2587
- Practice Street Address
- 1050 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2001
- Practice Country
- US
- Practice Phone
- (716) 856-2587
- Enumeration Date
- March 16, 2022
- Last Updated
- September 07, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)