| Provider Type: | Behavioral Health & Social Service Providers |
| Provider Classification: | Counselor |
| Definition of Specialization: | |
| Address: |
620 Tronolone Pl Niagara Falls, NY 14301-1910 |
| Phone: | (716) 205-0825 |
| Fax: | (716) 205-0824 |
| Gender: | Male |
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