National Provider Identifier
Deidre M Anderson, CASAC 2
Deidre M Anderson, CASAC 2 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) 422-2002.
Profile Overview
- NPI
- 1609473891
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 01, 2020
- Last Updated
- April 26, 2023
Practice Location
- 1500 Broadway St Ste 170
- Buffalo, NY 14212-1861
Phone: (716) 422-2002
Mailing Address
- 1500 Broadway St
- Buffalo, NY 14212-1862
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1609473891
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Deidre
- Middle Name
- M
- Credential
- CASAC 2
- Mailing Street Address
- 1500 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1862
- Mailing Country
- US
- Mailing Phone
- (716) 422-2002
- Practice Street Address
- 1500 Broadway St Ste 170
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1861
- Practice Country
- US
- Practice Phone
- (716) 422-2002
- Practice Fax
- (716) 893-0128
- Enumeration Date
- October 01, 2020
- Last Updated
- April 26, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Counselor (101Y00000X)