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NPI Code Detail

MEDICARE: LORRAINE FAEHNDRICH

MEDICARE: LORRAINE FAEHNDRICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346198074
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRAINE FAEHNDRICH
Provider Business Mailing Address
First Line : 208 RACHEL CARSON WAY
Second Line :
City : ITHACA
State : NY
Zip : 14850-8402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 BROWN RD
Second Line :
City : ITHACA
State : NY
Zip : 14850-1247
Country : US
Telephone Number : 607-274-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ LORRAINE FAEHNDRICH ” Practice Location

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