Individual
AMANDA STASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
111 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4141
(978) 369-1113
Mailing address
71 SANDY POND RD, LINCOLN, MA 01773-2602
(617) 947-7819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6435
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMG085
BCBSMA
MA
Enumeration date
06/05/2008
Last updated
06/05/2008
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