Jorge Luis Acevedo
Counselor, Addiction (Substance Use Disorder) in Buffalo, NY. Individual provider (NPI-1).
NPI number1518719087
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1518719087
- Entity type
- Individual (NPI-1)
- Name
- Jorge Luis Acevedo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2024
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 33728 | NY | Yes |
Practice location
430 Niagara StBuffalo, NY 14201-1886
Phone 716-853-1335 · Fax 716-853-1598
Mailing address
430 Niagara StBuffalo, NY 14201-1886
Phone 716-853-1335 · Fax 716-853-1598
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