Individual
AMANDA ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 N 2ND ST STE 100, FULTON, NY 13069-1254
(315) 326-3555
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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