Individual
AMANDA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
835 BARD AVE, STATEN ISLAND, NY 10301-3320
(718) 569-8727
Mailing address
435 STONEHAM ST, STATEN ISLAND, NY 10306-4553
(347) 631-8672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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