National Provider Identifier

Susan Bray Jenczka, LCPC, LCAT

Susan Bray Jenczka, LCPC, LCAT is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cheektowaga, NY and a listed phone number of (716) 270-3172.

NPI 1669097424Cheektowaga, NYMental Health Counselor

Profile Overview

NPI
1669097424
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
June 08, 2020
Last Updated
June 08, 2020

Practice Location

  • 6 Mapleview RD
  • Cheektowaga, NY 14225-1531

Phone: (716) 270-3172

Specialties

  • Mental Health Counselor (101YM0800X)
  • Music Therapist (225A00000X)
Full Record
NPI
1669097424
Entity Type
Individual
Last Name
Jenczka
First Name
Susan
Middle Name
Bray
Credential
LCPC, LCAT
Provider Other Last Name
Wesley
Provider Other First Name
Susan
Provider Other Middle Name
Bray
Provider Other Credential Text
LCPC, LCAT
Provider Other Last Name Type Code
1
Mailing Street Address
6 Mapleview RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1531
Mailing Country
US
Mailing Phone
(716) 270-3172
Practice Street Address
6 Mapleview RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1531
Practice Country
US
Practice Phone
(716) 270-3172
Enumeration Date
June 08, 2020
Last Updated
June 08, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
June 08, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Music Therapist (225A00000X)