Individual
MRS. NICOLE LYNN NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CASAC-T
Contact information
Practice address
699 HERTEL AVE, BUFFALO, NY 14207-2341
(716) 831-1977
(716) 831-1985
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
(716) 831-1985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
ADDICTIONS COUNSELOR
NY
Enumeration date
09/15/2006
Last updated
07/08/2007
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