National Provider Identifier

John Paz, CASAC

John Paz, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Ithaca, NY and a listed phone number of (607) 274-6288.

NPI 1568531374Ithaca, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1568531374
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
November 07, 2006
Last Updated
July 08, 2007

Practice Location

  • 201 E Green St
  • Ithaca, NY 14850-5635

Phone: (607) 274-6288

Mailing Address

  • 107 Westhaven RD
  • Ithaca, NY 14850-3098

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1568531374
Entity Type
Individual
Last Name
Paz
First Name
John
Credential
CASAC
Mailing Street Address
107 Westhaven RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3098
Mailing Country
US
Mailing Phone
(607) 319-0860
Mailing Fax
(607) 274-6280
Practice Street Address
201 E Green St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5635
Practice Country
US
Practice Phone
(607) 274-6288
Enumeration Date
November 07, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)