Individual provider · Type 1 NPI
Anthony J. Pettinelli, CASAC-T
Addiction (Substance Use Disorder) Counselor · Queensbury, NY
NPI number
1902636772
Active
Practice location
25 Willowbrook Rd
Queensbury, NY 12804-5882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 38520 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902636772
Anthony J. Pettinelli, CASAC-T's National Provider Identifier is 1902636772, issued on Aug 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Queensbury, NY. The record was last updated on Aug 6, 2024.