Organization
MENTAL HEALTH AND CHRISTIAN COUNSELING
Active
Organization
MENTAL HEALTH AND CHRISTIAN COUNSELING
Active
Other names
Mental Health and Christian Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
VONDOLYN L LANE (CEO)
(716) 705-3889
Entity
Organization
Contact information
Practice address
1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
(716) 705-3889
Mailing address
1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
(716) 705-3889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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