Provider Demographics
NPI:1104128628
Name:BUFFINGTON, BRITTANY MARIE (PCC-S)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:MARIE
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13477 PROSPECT RD STE 104A
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-3867
Mailing Address - Country:US
Mailing Address - Phone:440-207-0572
Mailing Address - Fax:440-334-1000
Practice Address - Street 1:13477 PROSPECT RD STE 104A
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-3867
Practice Address - Country:US
Practice Address - Phone:440-207-0572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-04
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
OHE.1000189-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor