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Individual

MS. AMANDA L. CANNAMELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
310 HANON DR, WILLISTON, VT 05495-8857
(802) 399-9337
Mailing address
PO BOX 147, WILLISTON, VT 05495-0147
(802) 399-9337

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000752
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00071241
BCBS- UNMANAGED
VT
05
1015416
VT
01
3010878
MVP
01
600529540
MAGELLAN - BCBS
VT
Enumeration date
08/22/2008
Last updated
01/04/2024
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