National Provider Identifier
George Allan Terry, LCSW-R
George Allan Terry, LCSW-R 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.
Profile Overview
- NPI
- 1861556987
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- December 21, 2006
- Last Updated
- July 08, 2007
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6288
Mailing Address
- 9857 Case RD
- Interlaken, NY 14847-9751
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1861556987
- Entity Type
- Individual
- Last Name
- Terry
- First Name
- George
- Middle Name
- Allan
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 9857 Case RD
- Mailing City
- Interlaken
- Mailing State
- NY
- Mailing ZIP Code
- 14847-9751
- Mailing Country
- US
- Mailing Phone
- (607) 387-4813
- 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
- Practice Fax
- (607) 274-6280
- Enumeration Date
- December 21, 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)