Individual
MRS. AMANDA L ASRELSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
207 WORTH ST, ITHACA, NY 14850-4924
(860) 830-6228
Mailing address
257 CODDINGTON RD, ITHACA, NY 14850-6049
(860) 830-6228
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001728
NY
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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