Provider Demographics
NPI:1528228020
Name:MCDONALD, JOURNEY C (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:JOURNEY
Middle Name:C
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:JOURNEY
Other - Middle Name:C
Other - Last Name:RIVENBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213
Mailing Address - Country:US
Mailing Address - Phone:716-695-5854
Mailing Address - Fax:716-694-0983
Practice Address - Street 1:400 FOREST AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213
Practice Address - Country:US
Practice Address - Phone:716-695-5857
Practice Address - Fax:716-694-0983
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor