Individual
DEIDRE M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC 2
Contact information
Practice address
1500 BROADWAY ST STE 170, BUFFALO, NY 14212-1861
(716) 422-2002
(716) 893-0128
Mailing address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
04/26/2023
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