Individual
ANGELICA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 308-9331
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12909
NY
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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