Individual
AMANDA ROSE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 SHORE RD APT 6K, LONG BEACH, NY 11561-4240
(516) 305-1911
Mailing address
541 N ATLANTA AVE, NORTH MASSAPEQUA, NY 11758-2036
(516) 305-1911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
07/30/2024
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