Individual
AMANDA HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 RIVERSIDE AVE, BALTIMORE, MD 21230-4605
(301) 887-3549
Mailing address
36 EXETER ST, QUINCY, MA 02170-1323
(301) 887-3549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10806
MD
101YM0800X
Mental Health Counselor
LGP9025
MD
101YM0800X
Mental Health Counselor
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Other
Enumeration date
04/25/2019
Last updated
01/06/2023
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