National Provider Identifier

Karl Shallowhorn, MS, CASAC

Karl Shallowhorn, MS, CASAC 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) 831-0200.

NPI 1801102017Buffalo, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1801102017
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
August 25, 2010
Last Updated
August 25, 2010

Practice Location

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Phone: (716) 831-0200

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1801102017
Entity Type
Individual
Last Name
Shallowhorn
First Name
Karl
Name Prefix
Mr.
Credential
MS, CASAC
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-0200
Mailing Fax
(716) 831-0206
Practice Street Address
3020 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 831-0200
Practice Fax
(716) 831-0206
Enumeration Date
August 25, 2010
Last Updated
August 25, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)