Doctor Name: | FAYE ANN BUFFALOE |
NPI Number: | 1023454105 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAC II, CCS |
License Number: | |
Business Practice Address: | 4854 Old National Hwy Suite 226 College Park, GA - 303376221 |
Business Phone Number: | 4043127862 |
Business Fax Number: | 7707741039 |
Mailing Address: | 4854 Old National Hwy, Suite 226 COLLEGE PARK |
State: | GA |
Postal Code: | 303376221 |
Phone Number: | 4043127862 |
Fax Number: | 7707741039 |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |