Individual
ALISON CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
Mailing address
221 W LINCOLN ST, ITHACA, NY 14850-3560
(603) 313-9626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
090716
NY
104100000X
Social Worker
Primary
77090716
NY
Other
Enumeration date
10/16/2013
Last updated
08/22/2016
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