MICHELLE JACOB

NIAGARA FALLS, NY
NPI1417035874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  8370)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
-- MICHELLE JACOB CASAC
6520 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304-1550
Phone number: 716-831-1840
Mailing Address
-- MICHELLE JACOB CASAC
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-831-1800
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