Individual
MRS. AMANDA BELLE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
31 THURBER DR, WATERLOO, NY 13165-1665
(315) 539-1980
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1665
(315) 539-1980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
085980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085980
—
NY
Enumeration date
07/09/2015
Last updated
07/09/2015
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