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Mr. Douglas Blaine Fabian, LICENSEDSOCIALWORK
Mental Health Counselor in Buffalo, New York
NPI 1982898334

Douglas Blaine Fabian is a Mental Health Counselor based in Buffalo, NY and is specialized in Mental Health. Douglas Blaine Fabian practices in Buffalo, NY and has the professional credentials of LICENSEDSOCIALWORK. The NPI Number for Douglas Blaine Fabian is 1982898334 and holds a License No. 0192041 (New York).

The current practice location address for Douglas Blaine Fabian is 2969 Main St, Buffalo, NY and can be reached out via phone at 716-834-2310 and via fax at 716-834-9881.

Location: 2969 Main St, Buffalo, NY, 14214
person
Provider Profile Details
NPI Number
1982898334
Provider Name
Douglas Blaine Fabian
Credential
LICENSEDSOCIALWORK
Provider Entity Type
Individual
Gender
Male
Address
2969 Main St, Buffalo, NY, 14214
Phone Number
716-834-2310
Fax Number
716-834-9881
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0192041 01 NY STATE LICENSE SOCIAL W
institution
Provider Business Practice Location Address Details
Address
2969 Main St
City
State
Zip
14214
Phone Number
716-834-2310
Fax Number
716-834-9881
person
Provider Business Mailing Address Details
Address
2969 Main St
City
State
Zip
14214
Phone Number
716-834-2310
Fax Number
716-834-9881
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0192041 (New York)
Definition
Definition to come...
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