Individual
ADRIANA CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
Mailing address
PO BOX 86, ITHACA, NY 14851-0086
(607) 288-3892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
016113
NY
Other
Enumeration date
05/02/2021
Last updated
06/06/2025
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