Provider Demographics
NPI:1699803767
Name:BELLNIER, ADELE ANN (MS)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:ANN
Last Name:BELLNIER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 JOHN SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-9287
Mailing Address - Country:US
Mailing Address - Phone:315-255-3623
Mailing Address - Fax:315-255-0852
Practice Address - Street 1:180 NORTH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1811
Practice Address - Country:US
Practice Address - Phone:315-255-3623
Practice Address - Fax:315-255-0852
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00005403OtherCERTIFIED REHAB COUNSELOR