IndividualActive
Amy Abbasov, M.ED. LPC-S
NPI 1023659679 · Professional Counselor · Ithaca, NY
Provider details
- NPI number
- 1023659679
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.ED. LPC-S
- Sex
- Female
- Sole proprietor
- Yes
- License
- 65000 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
23 Besemer Ln
Ithaca, NY 14850-9699
Phone: (806) 236-4156
Approximate (ZIP-level) locationGet directions
Mailing address
23 Besemer Ln
Ithaca, NY 14850-9699
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2023-05-04
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.