National Provider Identifier

Samantha Jade Stefaniak, MHC-P

Samantha Jade Stefaniak, MHC-P is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 842-0440.

NPI 1235604158Buffalo, NYCounselor

Profile Overview

NPI
1235604158
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 07, 2018
Last Updated
March 04, 2021

Practice Location

  • 1000 Main St
  • Buffalo, NY 14202-1102

Phone: (716) 842-0440

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1235604158
Entity Type
Individual
Last Name
Stefaniak
First Name
Samantha
Middle Name
Jade
Credential
MHC-P
Provider Other Last Name
Pangrazio
Provider Other First Name
Samantha
Provider Other Middle Name
Jade
Provider Other Credential Text
MHC-P
Provider Other Last Name Type Code
1
Mailing Street Address
1000 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1102
Mailing Country
US
Mailing Phone
(716) 842-0440
Practice Street Address
1000 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1102
Practice Country
US
Practice Phone
(716) 842-0440
Enumeration Date
October 07, 2018
Last Updated
March 04, 2021
Sex
Female
Sole Proprietor
No
Certification Date
March 04, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)