Individual provider · Type 1 NPI
Kelly Jensen, ICADC
Addiction (Substance Use Disorder) Counselor · Buffalo, NY
NPI number
1386241511
Active
Practice location
255 Delaware Ave Ste 3000
Buffalo, NY 14202-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 827461 (GU) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386241511
Kelly Jensen, ICADC's National Provider Identifier is 1386241511, issued on Oct 1, 2020. 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 Oct 1, 2020.