National Provider Identifier

Jenna Marie Rouse

Jenna Marie Rouse is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 422-2002.

NPI 1457936312Buffalo, NYCounselor

Profile Overview

NPI
1457936312
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
March 12, 2021
Last Updated
March 12, 2021

Practice Location

  • 1500 Broadway St
  • Buffalo, NY 14212-1862

Phone: (716) 422-2002

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1457936312
Entity Type
Individual
Last Name
Rouse
First Name
Jenna
Middle Name
Marie
Mailing Street Address
1500 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1862
Mailing Country
US
Mailing Phone
(716) 422-2002
Mailing Fax
(716) 893-0128
Practice Street Address
1500 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1862
Practice Country
US
Practice Phone
(716) 422-2002
Practice Fax
(716) 893-0128
Enumeration Date
March 12, 2021
Last Updated
March 12, 2021
Sex
Female
Sole Proprietor
No
Certification Date
March 12, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)