Individual
MS. AMY E NEVELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
866 WORCESTER DR, NISKAYUNA, NY 12309-4923
(843) 812-4463
Mailing address
866 WORCESTER DR, NISKAYUNA, NY 12309-4923
(843) 812-4463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5760
SC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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