Individual provider · Type 1 NPI

Gwendolyn Theresa Jervis-White, M.S.

Mental Health Counselor · Buffalo, NY

NPI number 1285831297 Active

Practice location

80 Goodrich St
Buffalo, NY 14203-1005

Call (716) 859-2118 Map

Fax (716) 859-1505

Mailing address

347 Florida St
Buffalo, NY 14208-1330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285831297

Gwendolyn Theresa Jervis-White, M.S.'s National Provider Identifier is 1285831297, issued on Jul 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Jul 8, 2007.