National Provider Identifier
Douglas Blaine Fabian, LICENSED SOCIAL WORK
Douglas Blaine Fabian, LICENSED SOCIAL WORK is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 834-2310.
Profile Overview
- NPI
- 1982898334
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 29, 2007
- Last Updated
- August 29, 2007
Practice Location
- 2969 Main St
- Suicide Prevention And Crisis Service Inc
- Buffalo, NY 14214
Phone: (716) 834-2310
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1982898334
- Entity Type
- Individual
- Last Name
- Fabian
- First Name
- Douglas
- Middle Name
- Blaine
- Name Prefix
- Mr.
- Credential
- LICENSED SOCIAL WORK
- Mailing Street Address
- 2969 Main St
- Mailing Address Line 2
- Suicide Prevention And Crisis Service Inc
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214
- Mailing Country
- US
- Mailing Phone
- (716) 834-2310
- Mailing Fax
- (716) 834-9881
- Practice Street Address
- 2969 Main St
- Practice Address Line 2
- Suicide Prevention And Crisis Service Inc
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214
- Practice Country
- US
- Practice Phone
- (716) 834-2310
- Practice Fax
- (716) 834-9881
- Enumeration Date
- August 29, 2007
- Last Updated
- August 29, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 0192041 (Ny State License Social W)