Ellen C Peterson
Ellen C Peterson is a Clinical Social Worker in Ithaca, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
402 N Cayuga StIthaca, NY 14850
Phone: (607) 272-7720
Fax: (607) 564-0554
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence PR0432461 (NY) |
|---|
Record details
| NPI number | 1265646590 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ellen Peterson — Owner Psychotherapist · (607) 272-7720 |
| Other names | Avenues Counseling Ctr |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | June 24, 2008 |
| Mailing address | 402 N Cayuga St, Ithaca, NY 14850 |
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