| NPI | 1043991466 |
|---|---|
| Other Name | THEODORE MENTAL HEALTH COUNSELING, PLLC |
| Doing Business As | THEODORE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | WADELINE THEODORE Clinical Director 716-280-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-08-20 |