Individual
AMANDA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
210 CHURCH ST, WATERTOWN, NY 13601-1018
(315) 486-2616
Mailing address
210 CHURCH ST, WATERTOWN, NY 13601-1018
(315) 486-2616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32637
NY
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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