ALLEN JOHN AGNEW

ITHACA, NY
NPI1053474098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  CASAC 13121)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
MR. ALLEN JOHN AGNEW CASAC NYS 13121
201 E GREEN ST SUITE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Mailing Address
MR. ALLEN JOHN AGNEW CASAC NYS 13121
512 HIGHLAND RD
ITHACA, NY 14850-2218
Phone number: 607-257-4245
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