Basic Information
| Provider Information | |||||||||
| NPI: | 1619144532 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAXON | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3020 BAILEY AVE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142152814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168311800 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6301 INDUCON DR E | ||||||||
| Address2: | |||||||||
| City: | SANBORN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 141329014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7167312030 | ||||||||
| FaxNumber: | 7167313010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2008 | ||||||||
| LastUpdateDate: | 05/09/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 031231 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.