Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Buffo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104231729

Jacquelyn Buffo is a Mental Health Counselor in Clinton Township, Michigan. Qualified in 2012, 14 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

15420 19 Mile Rd
Clinton Township, MI 48038-6339
Phone: (586) 226-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3079 S Baldwin Rd # 3020, Lake Orion, MI 48359-1028 — (586) 464-7432

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401013525 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 6401013525 (MI)

Record details

NPI number1104231729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address3079 S Baldwin Rd # 3020, Lake Orion, MI 48359-1028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township