Hiding Place Individual Family and Marriage Therapy Pllc

NPI #1467239814 in Tonawanda, New York

Provider Information

NPI Number
1467239814
Entity Type
Organization
Organization Name
Hiding Place Individual Family and Marriage Therapy Pllc
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Sep 11, 2023
Last Updated
Jan 3, 2024

Practice Location

Address
1868 NIAGARA FALLS BLVD STE 103
ZIP Code
14150-6494
Phone
(716) 201-0522

Authorized Official

Name
MR. EDWARD JACKSON JR., LMFT
Title
MEMBER/OWNER
Phone
(716) 201-0522

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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