Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, ATR
Contact information
Practice address
961 TREETOPS, WHARTON, NJ 07885-1774
(862) 222-6875
Mailing address
961 TREETOPS, WHARTON, NJ 07885-1774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00561700
NJ
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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