Organization · Type 2 NPI

Xesus House of Prayer, Inc.

Mental Health Counselor · Williamsville, NY

NPI number 1104669993 Active

Practice location

300 International Dr Ste 100
Williamsville, NY 14221-5783

Fax (716) 463-1698

Mailing address

135 Lyndale Ave
Buffalo, NY 14223-3023

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Professional Counselor 101YP2500XNone listed
Poetry Therapist 102X00000XNone listed
Registered Nurse 163W00000XNone listed
College Health Registered Nurse 163WC1400XNone listed
Legal Medicine 173000000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104669993

Xesus House of Prayer, Inc.'s National Provider Identifier is 1104669993, issued on Jun 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Williamsville, NY. The record was last updated on Jun 18, 2024.