Individual
ALEXIS MARY MACHELOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 218-2100
(716) 856-2608
Mailing address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 218-2100
(716) 856-2608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
112520
—
225C00000X
Rehabilitation Counselor
Primary
112520
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112520
COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION
—
Enumeration date
01/12/2023
Last updated
04/26/2023
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