Individual
MICHELLE CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
951 NIAGARA STREET, BUFFALO, NY 14213
(716) 883-5344
Mailing address
951 NIAGARA STREET, BUFFALO, NY 14213
(716) 883-5344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24594
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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