GEORGE ALLAN TERRY

ITHACA, NY
NPI1861556987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  R046798-1)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
Mr. GEORGE ALLAN TERRY LCSW-R
201 E GREEN ST
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Mailing Address
Mr. GEORGE ALLAN TERRY LCSW-R
9857 CASE RD
INTERLAKEN, NY 14847-9751
Phone number: 607-387-4813