Individual
AMANDA LEIGH CORTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
130 CENTRAL AVE, SUITE 2, UNIT D, DOVER, NH 03820
(978) 225-3412
(603) 434-3101
Mailing address
130 CENTRAL AVE, SUITE 2, UNIT D, DOVER, NH 03820
(978) 225-3412
(603) 434-3101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1081
NH
101YM0800X
Mental Health Counselor
13010-MH-CC
MA
101YM0800X
Mental Health Counselor
CC6401
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077845
—
NH
Enumeration date
01/14/2015
Last updated
02/02/2023
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