Individual provider · Type 1 NPI

Fernando Terry I

Addiction (Substance Use Disorder) Counselor · Ellenville, NY

NPI number 1316306475 Active

Practice location

45 Country Club Rd
Ellenville, NY 12428-7113

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316306475

Fernando Terry I's National Provider Identifier is 1316306475, issued on Feb 17, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ellenville, NY. The record was last updated on Feb 17, 2016.