Individual
MS. SABRINA GAYLE MUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCP, CASAC
Contact information
Practice address
1010 MAIN ST, BUFFALO, NY 14202-1102
(716) 859-4769
Mailing address
1010 MAIN ST, BUFFALO, NY 14202-1102
(716) 859-4769
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
18P68758
NY
103TC1900X
Counseling Psychologist
18P68758
NY
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
18P68758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932467
—
NY
Enumeration date
04/20/2009
Last updated
06/03/2009
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