JENNA RAPHAEL

BUFFALO, NY
NPI1205324621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  091533)
Enumeration Date2018-05-01
Last Update Date2018-05-01
Business Address
JENNA RAPHAEL
206 S ELMWOOD AVE
BUFFALO, NY 14201-2398
Phone number: 716-847-0212
Mailing Address
JENNA RAPHAEL
206 S ELMWOOD AVE
BUFFALO, NY 14201-2398
Phone number: 716-847-0212