National Provider Identifier

Judith Rhena Brown, LCSW-R

Judith Rhena Brown, LCSW-R is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 859-2176.

NPI 1356558886Buffalo, NYMental Health Counselor

Profile Overview

NPI
1356558886
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
May 16, 2007
Last Updated
July 08, 2007

Practice Location

  • 80 Goodrich St
  • Mica Unit
  • Buffalo, NY 14203-1005

Phone: (716) 859-2176

Mailing Address

  • 200 Woodward Ave
  • Buffalo, NY 14214-2314

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1356558886
Entity Type
Individual
Last Name
Brown
First Name
Judith
Middle Name
Rhena
Name Prefix
MS.
Credential
LCSW-R
Mailing Street Address
200 Woodward Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2314
Mailing Country
US
Mailing Phone
(716) 861-8061
Practice Street Address
80 Goodrich St
Practice Address Line 2
Mica Unit
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1005
Practice Country
US
Practice Phone
(716) 859-2176
Practice Fax
(716) 859-2560
Enumeration Date
May 16, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
R056378-1 (NY, License Number)