National Provider Identifier

Myron Mychajluk, CASAC

Myron Mychajluk, CASAC 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) 828-0560.

NPI 1437210283Buffalo, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1437210283
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
December 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 2040 Seneca St
  • South Buffalo Counseling Center
  • Buffalo, NY 14210-2324

Phone: (716) 828-0560

Mailing Address

  • 227 Thorn Ave
  • Spectrum Human Services
  • Orchard Park, NY 14127-2600

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1437210283
Entity Type
Individual
Last Name
Mychajluk
First Name
Myron
Credential
CASAC
Mailing Street Address
227 Thorn Ave
Mailing Address Line 2
Spectrum Human Services
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
2040 Seneca St
Practice Address Line 2
South Buffalo Counseling Center
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-2324
Practice Country
US
Practice Phone
(716) 828-0560
Practice Fax
(716) 828-1522
Enumeration Date
December 13, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)