Individual
AMANDA FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
(845) 379-0956
Mailing address
115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
11/14/2018
Last updated
01/01/2019
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