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Individual

JILLIAN DIANE BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-2441
Mailing address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-2441

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
129400
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CASAC-P-40873
NY

Other

Enumeration date
09/01/2021
Last updated
11/11/2025
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