Individual
JORGE LUIS ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 853-1335
(716) 853-1598
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 853-1335
(716) 853-1598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33728
NY
Other
Enumeration date
04/05/2024
Last updated
04/19/2024
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