National Provider Identifier

Amy Graham, AAS

Amy Graham, AAS 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 1891247359Ithaca, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1891247359
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
November 01, 2016
Last Updated
November 01, 2016

Practice Location

  • 201 E Green St Ste 500
  • Ithaca, NY 14850-5635

Phone: (607) 274-6288

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1891247359
Entity Type
Individual
Last Name
Graham
First Name
Amy
Name Prefix
MS.
Credential
AAS
Mailing Street Address
201 E Green St Ste 500
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5635
Mailing Country
US
Mailing Phone
(607) 274-6288
Mailing Fax
(607) 274-6280
Practice Street Address
201 E Green St Ste 500
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
November 01, 2016
Last Updated
November 01, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)