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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