National Provider Identifier
Andon Ticco
Andon Ticco is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Kenmore, NY and a listed phone number of (716) 389-1008.
Profile Overview
- NPI
- 1497207971
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 31, 2016
- Last Updated
- November 27, 2020
Practice Location
- 1530 Military RD
- Kenmore, NY 14217-1263
Phone: (716) 389-1008
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1497207971
- Entity Type
- Individual
- Last Name
- Ticco
- First Name
- Andon
- Provider Other Last Name
- Ticco
- Provider Other First Name
- Andon
- Provider Other Credential Text
- LMHC
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 1530 Military RD
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1263
- Mailing Country
- US
- Mailing Phone
- (716) 389-1008
- Practice Street Address
- 1530 Military RD
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1263
- Practice Country
- US
- Practice Phone
- (716) 389-1008
- Enumeration Date
- October 31, 2016
- Last Updated
- November 27, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 27, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)