National Provider Identifier

Leta Ann Jones

Leta Ann Jones is listed in the NPPES registry with a primary specialty of Peer Specialist in Kenmore, NY and a listed phone number of (716) 566-7771.

NPI 1932878782Kenmore, NYPeer Specialist

Profile Overview

NPI
1932878782
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
September 07, 2021
Last Updated
September 07, 2021

Practice Location

  • 262 Woodward Ave
  • Kenmore, NY 14217-1539

Phone: (716) 566-7771

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1932878782
Entity Type
Individual
Last Name
Jones
First Name
Leta
Middle Name
Ann
Mailing Street Address
262 Woodward Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1539
Mailing Country
US
Mailing Phone
(716) 566-7771
Mailing Fax
(716) 873-0564
Practice Street Address
262 Woodward Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1539
Practice Country
US
Practice Phone
(716) 566-7771
Practice Fax
(716) 873-0564
Enumeration Date
September 07, 2021
Last Updated
September 07, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
September 07, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)