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Mrs. Amy Abbasov, MEDLPC-S
Professional Counselor in Ithaca, New York
NPI 1023659679

Amy Abbasov is a Professional Counselor based in Ithaca, NY and is specialized in Professional. Amy Abbasov practices in Ithaca, NY and has the professional credentials of MEDLPC-S. The NPI Number for Amy Abbasov is 1023659679 and holds a License No. 65000 (New York).

The current practice location address for Amy Abbasov is 23 Besemer Ln, Ithaca, NY and can be reached out via phone at 806-236-4156.

Location: 23 Besemer Ln, Ithaca, NY, 14850-9699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023659679
Provider Name
Amy Abbasov
Credential
MEDLPC-S
Provider Entity Type
Individual
Gender
Female
Address
23 Besemer Ln, Ithaca, NY, 14850-9699
Phone Number
806-236-4156
Fax Number
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65000 01 TX TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
institution
Provider Business Practice Location Address Details
Address
23 Besemer Ln
City
Ithaca
State
New York
Zip
14850-9699
Phone Number
806-236-4156
Fax Number
person
Provider Business Mailing Address Details
Address
23 Besemer Ln
City
Ithaca
State
New York
Zip
14850-9699
Phone Number
806-236-4156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
65000 (Texas)
Definition
Definition to come...
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