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Individual

BRENDAN MACKINNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2412 SENECA ST, BUFFALO, NY 14210-2662
(716) 566-6507
(866) 242-7286
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
39174
NY

Other

Enumeration date
08/16/2022
Last updated
01/04/2024
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