National Provider Identifier

Jamie John Degeorge, LMHC

Jamie John Degeorge, 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) 710-5151.

NPI 1548617855Buffalo, NYMental Health Counselor

Profile Overview

NPI
1548617855
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
May 17, 2016
Last Updated
May 05, 2022

Practice Location

  • 95 W Humboldt Pkwy
  • Buffalo, NY 14214-2604

Phone: (716) 710-5151

Specialties

  • Mental Health Counselor (101YM0800X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1548617855
Entity Type
Individual
Last Name
Degeorge
First Name
Jamie
Middle Name
John
Name Prefix
Mr.
Credential
LMHC
Mailing Street Address
95 W Humboldt Pkwy
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2604
Mailing Country
US
Mailing Phone
(716) 710-5151
Mailing Fax
(716) 883-0687
Practice Street Address
95 W Humboldt Pkwy
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2604
Practice Country
US
Practice Phone
(716) 710-5151
Practice Fax
(716) 883-0687
Enumeration Date
May 17, 2016
Last Updated
May 05, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
May 05, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)