Individual
AMANDA EWANCIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1386
(845) 486-2703
(845) 790-2199
Mailing address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-2703
(845) 790-2199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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