National Provider Identifier
Peter Ellis Addiego, CASAC-T
Peter Ellis Addiego, CASAC-T is listed in the NPPES registry with a primary specialty of Professional Counselor in Elmira, NY and a listed phone number of (607) 734-2006.
Profile Overview
- NPI
- 1538966676
- Provider Type
- Individual
- Primary Specialty
- Professional Counselor
- Enumeration Date
- February 26, 2025
- Last Updated
- February 26, 2025
Practice Location
- 1149 Sullivan St
- Elmira, NY 14901-1670
Phone: (607) 734-2006
Specialties
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1538966676
- Entity Type
- Individual
- Last Name
- Addiego
- First Name
- Peter
- Middle Name
- Ellis
- Name Prefix
- Mr.
- Credential
- CASAC-T
- Mailing Street Address
- 1149 Sullivan St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1670
- Mailing Country
- US
- Mailing Phone
- (607) 734-2006
- Mailing Fax
- (607) 734-1514
- Practice Street Address
- 1149 Sullivan St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1670
- Practice Country
- US
- Practice Phone
- (607) 734-2006
- Practice Fax
- (607) 734-1514
- Enumeration Date
- February 26, 2025
- Last Updated
- February 26, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 26, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Professional Counselor (101YP2500X)