Individual
MYRON MYCHAJLUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
2040 SENECA ST, SOUTH BUFFALO COUNSELING CENTER, BUFFALO, NY 14210-2324
(716) 828-0560
(716) 828-1522
Mailing address
227 THORN AVE, SPECTRUM HUMAN SERVICES, 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
8568
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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