Brandon Robert Parker
Counselor in Buffalo, NY. Individual provider (NPI-1).
NPI number1710697842
StatusActive
Last updated in NPPESNov 30, 2022
Details
- NPI
- 1710697842
- Entity type
- Individual (NPI-1)
- Name
- Brandon Robert Parker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2022
- Certification date
- Nov 30, 2022
- Last updated
- Nov 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1280 Main St Ste 3Buffalo, NY 14209-1966
Phone 716-842-6713 · Fax 716-887-8367
Mailing address
227 Thorn AveOrchard Park, NY 14127-2600
Phone 716-662-2040 · Fax 716-662-0019
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