Russ Blackstone
Russ Blackstone is a Mental Health Counselor in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
1515 Kensington Ave Ste 103Buffalo, NY 14215-1436
Phone: (716) 697-7380
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 014673 (NY) |
|---|
Record details
| NPI number | 1245004910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2023 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
| Mailing address | 1515 Kensington Ave Ste 103, Buffalo, NY 14215-1436 |
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