Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5 W CAYUGA ST, OSWEGO, NY 13126-2031
(315) 342-9255
Mailing address
11 COCHRAN ST, OSWEGO, NY 13126-3159
(315) 956-2423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006571
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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