Individual
MS. AMANDA NICOLE BASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WESTHAVEN RD, ITHACA, NY 14850-3026
(607) 205-8541
Mailing address
136 WESTHAVEN RD, ITHACA, NY 14850-3026
(607) 205-8541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
103033
NY
Other
Enumeration date
04/29/2015
Last updated
01/29/2020
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