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Individual

AMELIA TISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1124 ROUTE 94, SUITE 201, NEW WINDSOR, NY 12553-7258
(845) 787-1323
(845) 787-1366
Mailing address
1124 ROUTE 94, SUITE 201, NEW WINDSOR, NY 12553-7258
(845) 787-1323
(845) 787-1366

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005160
NY

Other

Enumeration date
06/29/2016
Last updated
06/29/2016
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