Individual
AMANDA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00894700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009745
—
NJ
Enumeration date
04/26/2021
Last updated
07/22/2024
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