Individual
MS. SANDRA MOBLEY-TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
951 NIAGARA STREET, ADOLESCENT OUTPATIENT PROGRAM, BUFFALO, NY 14213
(716) 883-5344
(716) 884-1758
Mailing address
FRANKLIN ST, 254 FRANKLIN STREET, BUFFALO, NY 14202-4107
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8241
CASAC
NY
Enumeration date
02/27/2008
Last updated
02/27/2008
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