National Provider Identifier

Jaclyn Marie Burnett

Jaclyn Marie Burnett is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 275-8994.

NPI 1730646514Buffalo, NYCounselor

Profile Overview

NPI
1730646514
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
February 27, 2019
Last Updated
February 27, 2019

Practice Location

  • 3108 Main St Apt 4
  • Buffalo, NY 14214-1362

Phone: (716) 275-8994

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1730646514
Entity Type
Individual
Last Name
Burnett
First Name
Jaclyn
Middle Name
Marie
Mailing Street Address
3108 Main St Apt 4
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1362
Mailing Country
US
Mailing Phone
(716) 275-8994
Practice Street Address
3108 Main St Apt 4
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1362
Practice Country
US
Practice Phone
(716) 275-8994
Enumeration Date
February 27, 2019
Last Updated
February 27, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)