Individual
MRS. AMY LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617-1436
(315) 386-2167
(315) 386-2435
Mailing address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617-1436
(315) 386-2167
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003782-1
NY
Other
Enumeration date
02/27/2007
Last updated
09/02/2014
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