Individual provider · Type 1 NPI
Jacqueline Bagwell, COUNSELOR
Addiction (Substance Use Disorder) Counselor · Buffalo, NY
NPI number
1336896034
Active
Practice location
255 Delaware Ave Fl 3
Buffalo, NY 14202-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336896034
Jacqueline Bagwell, COUNSELOR's National Provider Identifier is 1336896034, issued on Mar 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Buffalo, NY. The record was last updated on Mar 3, 2022.