National Provider Identifier

Ann Bowback, CASAC

Ann Bowback, 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) 884-5797.

NPI 1477629715Buffalo, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1477629715
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
November 28, 2006
Last Updated
July 08, 2007

Practice Location

  • 1235 Main Street
  • Mica
  • Buffalo, NY 14209-0424

Phone: (716) 884-5797

Mailing Address

  • PO Box 631
  • Spectrum Human Services 227 Thorn Ave
  • Orchard Park, NY 14127-0631

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1477629715
Entity Type
Individual
Last Name
Bowback
First Name
Ann
Credential
CASAC
Mailing Street Address
PO Box 631
Mailing Address Line 2
Spectrum Human Services 227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-0631
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
1235 Main Street
Practice Address Line 2
Mica
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-0424
Practice Country
US
Practice Phone
(716) 884-5797
Practice Fax
(716) 884-4938
Enumeration Date
November 28, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)