Individual
MEGHAN GANSEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 WILLIAM ST, BUFFALO, NY 14204-1811
(716) 893-0062
Mailing address
1526 WALDEN AVE STE 400, CHEEKTOWAGA, NY 14225-4985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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