Individual
AMANDA ASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
236 CRYSTAL RUN RD STE 5, MIDDLETOWN, NY 10941-4060
(845) 639-6338
Mailing address
26 JAMES CT, PORT JERVIS, NY 12771-3143
(845) 649-6448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012367
NY
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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