Individual provider · Type 1 NPI

Jacquelyn Buffo

Professional Counselor · Clinton Township, MI

NPI number 1104231729 Active

Practice location

15420 19 Mile Rd
Clinton Township, MI 48038-6339

Call (586) 226-7007 Map

Mailing address

3079 S Baldwin Rd # 3020
Lake Orion, MI 48359-1028

Other practice locations

  • 3079 S Baldwin Rd # 3020, Lake Orion, MI 48359-1028 · (586) 464-7432

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X6401013525 (MI)
Professional Counselor Primary 101YP2500X6401013525 (MI)

Professional Counselor: Definition to come...

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About NPI 1104231729

Jacquelyn Buffo's National Provider Identifier is 1104231729, issued on Jun 23, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clinton Township, MI. The record was last updated on Oct 9, 2024.