Individual
BETH VANGASBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 LINN ST, 1ST FL, ITHACA, NY 14850-3763
(607) 592-6105
Mailing address
524 LINN ST, 1ST FL, ITHACA, NY 14850-3763
(607) 592-6105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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