Individual
BONNIE LAFORME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC 17148
Contact information
Practice address
254 VIRGINIA ST, BUFFALO, NY 14201-1938
(716) 768-4040
Mailing address
254 VIRGINIA ST, BUFFALO, NY 14201-1938
(716) 768-4040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17148
NY
Other
Enumeration date
01/15/2008
Last updated
09/25/2015
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