Individual
AMANDA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8 NORTHAMPTON RD, CHILDREN'S MENTAL HEALTH OP CLINIC, AMSTERDAM, NY 12010-3224
(518) 843-7520
(518) 843-7537
Mailing address
8 NORTHAMPTON RD, CHILDREN'S MENTAL HEALTH OP CLINIC, AMSTERDAM, NY 12010-3224
(518) 843-7520
(518) 843-7537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005531
NY
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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