person
Mr. Allen John Agnew, CASACNYS13121
Addiction (Substance Use Disorder) Counselor in Ithaca, New York
NPI 1053474098

Allen John Agnew is an Addiction (Substance Use Disorder) Counselor based in Ithaca, NY and is specialized in Addiction (Substance Use Disorder). Allen John Agnew practices in Ithaca, NY and has the professional credentials of CASACNYS13121. The NPI Number for Allen John Agnew is 1053474098 and holds a License No. CASAC 13121 (New York).

The current practice location address for Allen John Agnew is 201 E Green St, Ithaca, NY and can be reached out via phone at 607-274-6288 and via fax at 607-274-6280.

Location: 201 E Green St, Ithaca, NY, 14850-2218
person
Provider Profile Details
NPI Number
1053474098
Provider Name
Allen John Agnew
Credential
CASACNYS13121
Provider Entity Type
Individual
Gender
Male
Address
201 E Green St, Ithaca, NY, 14850-2218
Phone Number
607-274-6288
Fax Number
607-274-6280
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
201 E Green St
City
State
Zip
14850-5635
Phone Number
607-274-6288
Fax Number
607-274-6280
person
Provider Business Mailing Address Details
Address
201 E Green St
City
State
Zip
14850-5635
Phone Number
607-274-6288
Fax Number
607-274-6280
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CASAC 13121 (New York)
Definition
Definition to come...
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