Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Buffo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104231729

Jacquelyn Buffo is a Mental Health Counselor in Clinton Township, Michigan. Qualified in 2012, 14 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

15420 19 Mile Rd
Clinton Township, MI 48038-6339
Phone: (586) 226-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3079 S Baldwin Rd # 3020, Lake Orion, MI 48359-1028 — (586) 464-7432

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401013525 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 6401013525 (MI)

Record details

NPI number1104231729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township