National Provider Identifier

John Robert Smith, CASAC

John Robert Smith, 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) 859-2953.

NPI 1285833772Buffalo, NYMental Health Counselor

Profile Overview

NPI
1285833772
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 13, 2007
Last Updated
August 09, 2007

Practice Location

  • 80 Goodrich St
  • Buffalo, NY 14203-1005

Phone: (716) 859-2953

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1285833772
Entity Type
Individual
Last Name
Smith
First Name
John
Middle Name
Robert
Credential
CASAC
Mailing Street Address
80 Goodrich St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1005
Mailing Country
US
Mailing Phone
(716) 859-2953
Mailing Fax
(716) 859-2560
Practice Street Address
80 Goodrich St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1005
Practice Country
US
Practice Phone
(716) 859-2953
Practice Fax
(716) 859-2560
Enumeration Date
July 13, 2007
Last Updated
August 09, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)