National Provider Identifier

James Edward Peterson SR., B.A.

James Edward Peterson SR., B.A. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Niagara Falls, NY and a listed phone number of (716) 505-1060.

NPI 1538267810Niagara Falls, NYMental Health Counselor

Profile Overview

NPI
1538267810
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 20, 2006
Last Updated
July 08, 2007

Practice Location

  • 1750 Pine Ave
  • Niagara Falls, NY 14301-2232

Phone: (716) 505-1060

Mailing Address

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1538267810
Entity Type
Individual
Last Name
Peterson
First Name
James
Middle Name
Edward
Name Prefix
Mr.
Name Suffix
SR.
Credential
B.A.
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-1800
Mailing Fax
(716) 831-1818
Practice Street Address
1750 Pine Ave
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-2232
Practice Country
US
Practice Phone
(716) 505-1060
Practice Fax
(716) 505-1065
Enumeration Date
September 20, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)