National Provider Identifier

Jenna Raphael

Jenna Raphael is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Buffalo, NY and a listed phone number of (716) 847-0212.

NPI 1205324621Buffalo, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1205324621
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
May 01, 2018
Last Updated
May 01, 2018

Practice Location

  • 206 S Elmwood Ave
  • Buffalo, NY 14201-2398

Phone: (716) 847-0212

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1205324621
Entity Type
Individual
Last Name
Raphael
First Name
Jenna
Mailing Street Address
206 S Elmwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-2398
Mailing Country
US
Mailing Phone
(716) 847-0212
Practice Street Address
206 S Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-2398
Practice Country
US
Practice Phone
(716) 847-0212
Enumeration Date
May 01, 2018
Last Updated
May 01, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)