Individual
ANDON TICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 MILITARY RD, KENMORE, NY 14217-1263
(716) 389-1008
Mailing address
1530 MILITARY RD, KENMORE, NY 14217-1263
(716) 389-1008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008540
NY
Other
Enumeration date
10/31/2016
Last updated
11/27/2020
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