Individual
BERNHARD A ARNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CASAC
Contact information
Practice address
76 W HUMBOLDT PKWY, BUFFALO, NY 14214-2605
(716) 835-9745
(716) 835-6785
Mailing address
525 WASHINGTON ST, BUFFALO, NY 14203-1711
(716) 856-4494
(716) 842-1277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC 1957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354005
COMMUNITY BLUE
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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