Individual
BRIAN GANGLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC-P
Contact information
Practice address
300 BEWLEY BUILDING, LOCKPORT, NY 14094-2943
(716) 478-0315
Mailing address
741 DELAWARE AVE, BUFFALO, NY 14209-2201
(716) 218-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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