Individual
AMANDA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SHARRON AVE, PLATTSBURGH, NY 12901-4700
(518) 561-1447
(518) 562-8812
Mailing address
815 STETSON RD, CHAZY, NY 12921-2271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36791
NY
Other
Enumeration date
08/26/2021
Last updated
10/08/2021
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