Individual
AMIE FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, CBIS, LPC
Contact information
Practice address
239 4TH AVE STE 1801, PITTSBURGH, PA 15222-1716
(412) 532-1249
Mailing address
50 LEEMAN ST, EASTON, PA 18045-6053
(484) 896-8895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011457
PA
221700000X
Art Therapist
PC011457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103647570-001
—
PA
Enumeration date
05/27/2022
Last updated
01/13/2023
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