Individual
MS. ANDREA PAMADORA SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
124 OSWEGO AVE, CANASTOTA, NY 13032-4272
(315) 516-1303
Mailing address
124 OSWEGO AVE, CANASTOTA, NY 13032-4272
(315) 516-1303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00717901
NY
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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