Jacob Andrew Abraham
Counselor, Mental Health in Buffalo, NY. Individual provider (NPI-1).
NPI number1003589433
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1003589433
- Entity type
- Individual (NPI-1)
- Name
- Jacob Andrew Abraham
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2021
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | P105172 | NY | Yes |
Practice location
387 Franklin StBuffalo, NY 14202-1507
Phone 716-462-0284 · Fax 716-262-0481
Mailing address
102 Cumberland AveBuffalo, NY 14220-1310
Phone 716-931-0141
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