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Miss Catherine Kelly Wallace
Counselor in Buffalo, New York
NPI 1679095178

Catherine Kelly Wallace is a Counselor based in Buffalo, NY. Catherine Kelly Wallace practices in Buffalo, NY. The NPI Number for Catherine Kelly Wallace is 1679095178 and holds a License No. (New York).

The current practice location address for Catherine Kelly Wallace is 625 Delaware Ave Ste 204, Buffalo, NY and can be reached out via phone at 716-882-3151 and via fax at 716-886-4022.

Location: 625 Delaware Ave Ste 204, Buffalo, NY, 14202-1007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679095178
Provider Name
Catherine Kelly Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Delaware Ave Ste 204, Buffalo, NY, 14202-1007
Phone Number
716-882-3151
Fax Number
716-886-4022
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Delaware Ave Ste 204
City
Buffalo
State
New York
Zip
14202-1007
Phone Number
716-882-3151
Fax Number
716-886-4022
person
Provider Business Mailing Address Details
Address
625 Delaware Ave Ste 204
City
Buffalo
State
New York
Zip
14202-1007
Phone Number
716-882-3151
Fax Number
716-886-4022
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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