National Provider Identifier
Patrick Mackenna, CASAC-T
Patrick Mackenna, CASAC-T 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) 848-2000.
Profile Overview
- NPI
- 1891868162
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- November 16, 2006
- Last Updated
- January 24, 2011
Practice Location
- 425 Michigan Ave
- Buffalo, NY 14203-2209
Phone: (716) 848-2000
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1891868162
- Entity Type
- Individual
- Last Name
- Mackenna
- First Name
- Patrick
- Credential
- CASAC-T
- Mailing Street Address
- 425 Michigan Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-2209
- Mailing Country
- US
- Mailing Phone
- (716) 848-2000
- Mailing Fax
- (716) 848-2112
- Practice Street Address
- 425 Michigan Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-2209
- Practice Country
- US
- Practice Phone
- (716) 848-2000
- Practice Fax
- (716) 848-2112
- Enumeration Date
- November 16, 2006
- Last Updated
- January 24, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 20011 (NY, Casac-T)