Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony J. Pettinelli, CASAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902636772

Anthony J. Pettinelli, CASAC-T is an Addiction (Substance Use Disorder) Counselor in Queensbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

25 Willowbrook Rd
Queensbury, NY 12804-5882
Phone: (518) 926-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 38520 (NY)

Record details

NPI number1902636772
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T
Sole proprietorYes
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

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