National Provider Identifier
Alicia L Moonan, LMHC
Alicia L Moonan, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 859-4803.
Profile Overview
- NPI
- 1467711978
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 04, 2012
- Last Updated
- November 27, 2012
Practice Location
- 1010 Main St
- Buffalo, NY 14202-1102
Phone: (716) 859-4803
Mailing Address
- 92 Meadowlawn RD
- Cheektowaga, NY 14225-3609
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1467711978
- Entity Type
- Individual
- Last Name
- Moonan
- First Name
- Alicia
- Middle Name
- L
- Credential
- LMHC
- Provider Other Last Name
- Kowalski
- Provider Other First Name
- Alicia
- Provider Other Middle Name
- L
- Provider Other Credential Text
- LMHC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 92 Meadowlawn RD
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-3609
- Mailing Country
- US
- Mailing Phone
- (716) 574-1581
- Practice Street Address
- 1010 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1102
- Practice Country
- US
- Practice Phone
- (716) 859-4803
- Practice Fax
- (716) 859-4859
- Enumeration Date
- May 04, 2012
- Last Updated
- November 27, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)