Individual
TONJA NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-P
Contact information
Practice address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Mailing address
3176 ABBOTT RD STE 500, ORCHARD PARK, NY 14127-1069
(716) 822-2177
(716) 822-8165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
007455-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346721487
—
NY
Enumeration date
08/27/2018
Last updated
04/03/2019
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