Individual
MR. KARL SHALLOWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CASAC
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-0200
(716) 831-0206
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-0200
(716) 831-0206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6506
NY
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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