Individual
PAUL SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 MAIN ST, BUFFALO, NY 14209-1912
(716) 884-5797
(716) 882-0293
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21290
NY
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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