Individual
MS. AMANDA LEIGH VITALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
403 SPINNER RD, HONESDALE, PA 18431-7634
(570) 253-9323
Mailing address
PO BOX 362, LAKE ARIEL, PA 18436-0362
(570) 878-8561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004603
PA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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