National Provider Identifier
Jacqueline Bagwell, COUNSELOR
Jacqueline Bagwell, COUNSELOR 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) 842-0440.
Profile Overview
- NPI
- 1336896034
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 03, 2022
- Last Updated
- March 03, 2022
Practice Location
- 255 Delaware Ave Fl 3
- Buffalo, NY 14202-2016
Phone: (716) 842-0440
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1336896034
- Entity Type
- Individual
- Last Name
- Bagwell
- First Name
- Jacqueline
- Credential
- COUNSELOR
- Mailing Street Address
- 255 Delaware Ave Fl 3
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2016
- Mailing Country
- US
- Practice Street Address
- 255 Delaware Ave Fl 3
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-2016
- Practice Country
- US
- Practice Phone
- (716) 842-0440
- Enumeration Date
- March 03, 2022
- Last Updated
- March 03, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 03, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)