National Provider Identifier

Aubrey Clark

Aubrey Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 895-6700.

NPI 1811509342Buffalo, NYMental Health Counselor

Profile Overview

NPI
1811509342
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 17, 2020
Last Updated
August 17, 2020

Practice Location

  • 1131 Broadway St
  • Buffalo, NY 14212-1501

Phone: (716) 895-6700

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1811509342
Entity Type
Individual
Last Name
Clark
First Name
Aubrey
Mailing Street Address
1131 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1501
Mailing Country
US
Practice Street Address
1131 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1501
Practice Country
US
Practice Phone
(716) 895-6700
Enumeration Date
August 17, 2020
Last Updated
August 17, 2020
Sex
Female
Sole Proprietor
No
Certification Date
August 17, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)