Individual
MR. MICHAEL JOHN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AS.
Contact information
Practice address
11581 WALDEN AVE, ALDEN, NY 14004-9715
(716) 937-5536
(716) 937-3088
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
(716) 831-1818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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