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Evan Biddlecom

Counselor, Mental Health in Orchard Park, NY. Individual provider (NPI-1).

NPI number1982173563
StatusActive
Last updated in NPPESNov 13, 2018

Details

NPI
1982173563
Entity type
Individual (NPI-1)
Name
Evan Biddlecom
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2018
Last updated
Nov 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

3671 Southwestern Blvd Ste 209
Orchard Park, NY 14127-1749

Phone 716-895-7207

Mailing address

3671 Southwestern Blvd Ste 209
Orchard Park, NY 14127-1749

Phone 716-895-7207

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