Individual
MS. ANITA A FEENAUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4222 BOLIVAR RD, WELLSVILLE, NY 14895-9332
(585) 593-1655
(585) 593-1868
Mailing address
3545 COUNTY ROUTE 119, CANISTEO, NY 14823-9707
(585) 593-1655
(585) 593-1868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
466820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00740423
—
NY
Enumeration date
09/18/2007
Last updated
09/18/2007
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