Individual
CHANEL DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 867-8332
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017738
NY
101YM0800X
Mental Health Counselor
Primary
P105679
NY
Other
Enumeration date
09/22/2023
Last updated
04/13/2026
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