Provider Demographics
NPI:1669355947
Name:SALEH, SHARESE L (MHC)
Entity type:Individual
Prefix:
First Name:SHARESE
Middle Name:L
Last Name:SALEH
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 MAIN ST RM 1095
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-2512
Mailing Address - Country:US
Mailing Address - Phone:716-517-4297
Mailing Address - Fax:
Practice Address - Street 1:295 MAIN ST RM 1095
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-2512
Practice Address - Country:US
Practice Address - Phone:716-517-4297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health