Individual
MS. AMANDA L MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
309 W 236TH ST FL 1, BRONX, NY 10463-2203
(917) 603-8375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
01/21/2022
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