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NPI Code Detail

MEDICARE: MS. CHELSEY ELIZABETH VANO MS, LCATP

MEDICARE: MS. CHELSEY ELIZABETH VANO MS, LCATP
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 CounselorP14628NY

General Provider Information

NPI Number : 1942769369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHELSEY ELIZABETH VANO MS, LCATP
Provider Business Mailing Address
First Line : 17 EAST GENESSEE ST
Second Line :
City : AUBURN
State : NY
Zip : 13021
Country : US
Telephone Number : 315-253-9795
Fax Number :
Provider Business Practice Location Address
First Line : 17 E GENESEE ST STE 1
Second Line :
City : AUBURN
State : NY
Zip : 13021-4068
Country : US
Telephone Number : 315-253-9795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 03/15/2019

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