Scott Jordan LCSW, CASAC

NPI 1790860294 - Counselor - 101YA0400X

NPI Details
NPI 1790860294
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1235 MAIN ST
BUFFALO NY, 14209-2111, US
Phone (716) 884-5797
Fax (716) 884-4938
Business Location
227 THORN AVENUE BOX 631
ORCHARD PARK NY, 14127, US
Phone (716) 662-2040
Fax (716) 662-0019
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 11739
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According to our database, Scott Jordan LCSW, CASAC NPI is 1790860294, taxonomy code is 101YA0400X and license number is 11739, license state is located at New York. Scott Jordan LCSW, CASAC physically located at 1235 Main St, Buffalo NY, 14209-2111. NPI Number Scott Jordan LCSW, CASAC has the Individual type.

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1790860294 NPI number is provided on an as is basis without warranty of any kind. 1790860294 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Jordan LCSW, CASAC are for informational purposes only.