Individual
CAROL ANN CORNACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
679 OHIO ST, NORTH TONAWANDA, NY 14120-1937
(716) 692-3942
Mailing address
679 OHIO ST, NORTH TONAWANDA, NY 14120-1937
(716) 692-3942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001571
NY
Other
Enumeration date
11/26/2006
Last updated
07/08/2007
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