Individual
AMANDA FROSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 STATE ST, WATERTOWN, NY 13601-2839
(315) 755-1251
(315) 291-6601
Mailing address
324 COUNTY ROUTE 51 BLDG 1, MALONE, NY 12953-4502
(315) 376-5450
(315) 779-5028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
097748
NY
Other
Enumeration date
05/30/2019
Last updated
04/04/2025
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