Individual
DR. AMANDA COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8 TRUMBULL RD, #304, NORTHAMPTON, MA 01060-3079
(413) 397-4206
Mailing address
177 CARDINAL WAY, FLORENCE, MA 01062-9201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000006442
MA
Other
Enumeration date
01/22/2008
Last updated
02/13/2012
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