Individual
AMANDA LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
16 MITCHELL RD, MOSCOW, PA 18444-7248
(570) 903-0676
Mailing address
16 MITCHELL RD, MOSCOW, PA 18444-7248
(570) 903-0676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC010598
PA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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