Individual
MS. JONI LYNN MAXICK-JASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
DRUG & ALCOHOL ABUSE, 951 NIAGARA STREET, BUFFALO, NY 14213
(716) 883-5344
(716) 884-1758
Mailing address
LAKE SHORE BEHAVIORAL HEALTH, INC., 254 FRANKLIN STREET, BUFFALO, NY 14202
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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