Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CASAC
Contact information
Practice address
3300 JAMES ST, SYRACUSE, NY 13206-2387
(315) 422-0300
(315) 479-8455
Mailing address
3300 JAMES ST, SYRACUSE, NY 13206-2387
(315) 422-0300
(315) 479-8455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31075
NY
106H00000X
Marriage & Family Therapist
Primary
001137
NY
Other
Enumeration date
01/04/2017
Last updated
04/03/2017
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