Individual
MR. BRIAN F. MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
254 FRANKLIN STREET, LAKE SHORE BEHAVIORAL HEALTH, BUFFALO, NY 14202
(716) 842-0220
(716) 842-4069
Mailing address
254 FRANKLIN STREET, LAKE SHORE BEHAVIORAL HEALTH, BUFFALO, NY 14202
(716) 842-0220
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00050224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00050224
CRC
NY
05
—
00671765
—
NY
Enumeration date
04/27/2007
Last updated
07/09/2007
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