National Provider Identifier
Kelly Jensen, ICADC
Kelly Jensen, ICADC 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
- 1386241511
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 01, 2020
- Last Updated
- October 01, 2020
Practice Location
- 255 Delaware Ave Ste 3000
- Buffalo, NY 14202-2016
Phone: (716) 842-0440
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1386241511
- Entity Type
- Individual
- Last Name
- Jensen
- First Name
- Kelly
- Credential
- ICADC
- Mailing Street Address
- 255 Delaware Ave Ste 3000
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2016
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Practice Street Address
- 255 Delaware Ave Ste 3000
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-2016
- Practice Country
- US
- Practice Phone
- (716) 842-0440
- Enumeration Date
- October 01, 2020
- Last Updated
- October 01, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)