Individual
NATHAN JALEEL WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 JEWETT PKWY, BUFFALO, NY 14214-2322
(716) 533-4300
Mailing address
70 JEWETT PKWY, BUFFALO, NY 14214-2322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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