| Doctor Name: | GEORGE A VANARNAM |
| NPI Number: | 1053754291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MFT |
| License Number: | |
| Business Practice Address: | 10 Mill St Cazenovia, NY - 130351406 |
| Business Phone Number: | 3154152684 |
| Business Fax Number: | |
| Mailing Address: | 79 Lincklaen St, CAZENOVIA |
| State: | NY |
| Postal Code: | 130351028 |
| Phone Number: | 3154152684 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2013 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |