Individual provider · Type 1 NPI

Demetric Pentelton

Mental Health Counselor · Buffalo, NY

NPI number 1669833836 Active · reactivated Mar 9, 2020

Practice location

951 Niagara St
Buffalo, NY 14213-2116

Mailing address

59 Zenner St
Buffalo, NY 14211-1707

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X009824 (NY)
Mental Health Counselor Primary 101YM0800X009824 (NY)

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About NPI 1669833836

Demetric Pentelton's National Provider Identifier is 1669833836, issued on Mar 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Sep 18, 2024.