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Individual

JOHN PAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6288
Mailing address
107 WESTHAVEN RD, ITHACA, NY 14850-3098
(607) 319-0860
(607) 274-6280

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12469
NY

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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