Individual
AMANDA FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
138 W 25TH ST FL 11, NEW YORK, NY 10001-7405
(646) 905-2769
Mailing address
138 W 25TH ST FL 11, NEW YORK, NY 10001-7405
(646) 905-2769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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