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Organization
HEART COMMUNITY ALLIANCE
Active
Organization
HEART COMMUNITY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKMAL SHAREEF LCSW-R, CASAC, MSW (MANAGING PARTNER)
(716) 834-0080
Entity
Organization
Contact information
Practice address
1131 KENSINGTON AVE, BUFFALO, NY 14215-1611
(716) 834-0080
(716) 834-0084
Mailing address
1131 KENSINGTON AVE, BUFFALO, NY 14215-1611
(716) 834-0080
(716) 834-0084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
73 069549
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
73 069549
NY
104100000X
Social Worker
Primary
73 069549
NY
Other
Enumeration date
01/03/2009
Last updated
01/03/2009
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