National Provider Identifier
Justin David Admiral
Justin David Admiral is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 856-2587.
Source: public NPPES record, last updated July 30, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1932332301
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 01, 2009
- Last Updated
- July 30, 2012
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 856-2587
Mailing Address
- PO Box 394
- Buffalo, NY 14205-0394
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Justin David Admiral is a Buffalo-based behavioral health provider whose New York State licensure record lists Licensed Master Social Work licensure dating to November 23, 2011.
Full Record
- NPI
- 1932332301
- Entity Type
- Individual
- Last Name
- Admiral
- First Name
- Justin
- Middle Name
- David
- Mailing Street Address
- PO Box 394
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14205-0394
- Mailing Country
- US
- Mailing Phone
- (716) 553-8560
- Mailing Fax
- (716) 856-2608
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 856-2587
- Practice Fax
- (716) 856-2608
- Enumeration Date
- September 01, 2009
- Last Updated
- July 30, 2012
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Mental Health Counselor (101YM0800X)