Individual provider · Type 1 NPI

George Allan Terry, LCSW-R

Addiction (Substance Use Disorder) Counselor · Ithaca, NY

NPI number 1861556987 Active

Practice location

201 E Green St
Ithaca, NY 14850-5635

Call (607) 274-6288 Map

Fax (607) 274-6280

Mailing address

9857 Case Rd
Interlaken, NY 14847-9751

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR046798-1 (NY)

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

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About NPI 1861556987

George Allan Terry, LCSW-R's National Provider Identifier is 1861556987, issued on Dec 21, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.