National Provider Identifier

Jon Jude Tasca, LMHC, CASAC

Jon Jude Tasca, LMHC, CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 768-4040.

NPI 1487294963Buffalo, NYMental Health Counselor

Profile Overview

NPI
1487294963
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 13, 2020
Last Updated
January 13, 2020

Practice Location

  • 254 Virginia St
  • Buffalo, NY 14201-1938

Phone: (716) 768-4040

Mailing Address

  • 1776 Clay Ave
  • Bronx, NY 10457-7239

Specialties

  • Mental Health Counselor (101YM0800X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1487294963
Entity Type
Individual
Last Name
Tasca
First Name
Jon
Middle Name
Jude
Credential
LMHC, CASAC
Mailing Street Address
1776 Clay Ave
Mailing City
Bronx
Mailing State
NY
Mailing ZIP Code
10457-7239
Mailing Country
US
Practice Street Address
254 Virginia St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1938
Practice Country
US
Practice Phone
(716) 768-4040
Enumeration Date
January 13, 2020
Last Updated
January 13, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 13, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)