Individual provider · Type 1 NPI

Russ Blackstone

Mental Health Counselor · Buffalo, NY

NPI number 1245004910 Active

Practice location

1515 Kensington Ave Ste 103
Buffalo, NY 14215-1436

Call (716) 697-7380 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X014673 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1245004910

Russ Blackstone's National Provider Identifier is 1245004910, issued on Nov 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Jun 10, 2024.