Individual
AMANDA ALYSE AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
415 HUDSON ST, APT 1E, HACKENSACK, NJ 07601-6606
(201) 370-9227
Mailing address
415 HUDSON ST, APT 1E, HACKENSACK, NJ 07601-6606
(201) 370-9227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100840104
NJ
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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