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Individual

MS. AMANDA DICRISTINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
17 E CARVER ST, HUNTINGTON, NY 11743-3409
(631) 673-5433
Mailing address
34 COLLEGE LN, WESTBURY, NY 11590-6420
(917) 562-7506

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005591-1
NY

Other

Enumeration date
09/11/2013
Last updated
09/18/2019
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