Individual
AMANDA ZACKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 N MAIN ST, PITTSFORD, NY 14534-4433
(585) 524-0008
Mailing address
56 N MAIN ST, PITTSFORD, NY 14534-4433
(585) 524-0008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P137194
NY
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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