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Fernando Terry I
Addiction (Substance Use Disorder) Counselor in Ellenville, New York
NPI 1316306475

Fernando Terry I is an Addiction (Substance Use Disorder) Counselor based in Ellenville, NY and is specialized in Addiction (Substance Use Disorder). Fernando Terry I practices in Ellenville, NY. The NPI Number for Fernando Terry I is 1316306475 and holds a License No. (New York).

The current practice location address for Fernando Terry I is 45 Country Club Rd, Ellenville, NY and can be reached out via phone at 845-321-4987.

Location: 45 Country Club Rd, Ellenville, NY, 12428-7113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316306475
Provider Name
Fernando Terry I
Credential
Provider Entity Type
Individual
Gender
Male
Address
45 Country Club Rd, Ellenville, NY, 12428-7113
Phone Number
845-321-4987
Fax Number
Provider Enumeration Date
02/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45 Country Club Rd
City
Ellenville
State
New York
Zip
12428-7113
Phone Number
845-321-4987
Fax Number
person
Provider Business Mailing Address Details
Address
45 Country Club Rd
City
Ellenville
State
New York
Zip
12428-7113
Phone Number
845-321-4987
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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