Individual
MR. PETER ELLIS ADDIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 734-2006
(607) 734-1514
Mailing address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 734-2006
(607) 734-1514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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