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.

NPI 1982898334Buffalo, NYMental Health Counselor

Source: public NPPES record, last updated August 29, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

Douglas Blaine Fabian is a Buffalo-based licensed social work professional. His CMS public registry record lists his practice setting as Suicide Prevention and Crisis Service, Inc., a distinguishing affiliation that points to crisis-oriented behavioral health work.

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
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
0192041 (Ny State License Social W)