National Provider Identifier

Jerome Joseph Holloway SR.

Jerome Joseph Holloway SR. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 710-4393.

NPI 1427579390Buffalo, NYMental Health Counselor

Source: public NPPES record, last updated June 30, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1427579390
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
June 30, 2017
Last Updated
June 30, 2017

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 710-4393

Mailing Address

  • 1125 Main St # 103
  • Buffalo, NY 14209-2300

Specialties

  • Mental Health Counselor (101YM0800X)

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Biography

Jerome Joseph Holloway Sr. is a Buffalo-based mental health counselor. Public sources did not surface a stronger professional profile, health-system affiliation, faculty role, or training biography.

Full Record
NPI
1427579390
Entity Type
Individual
Last Name
Holloway
First Name
Jerome
Middle Name
Joseph
Name Suffix
SR.
Mailing Street Address
1125 Main St # 103
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2300
Mailing Country
US
Practice Street Address
430 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1886
Practice Country
US
Practice Phone
(716) 710-4393
Enumeration Date
June 30, 2017
Last Updated
June 30, 2017
Sex
Male
Sole Proprietor
Yes
Taxonomies
Mental Health Counselor (101YM0800X)