Individual
AMANDA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 ROUTE 300, NEWBURGH, NY 12550-1738
(845) 567-6027
(845) 567-6527
Mailing address
1607 ROUTE 300 STE 1, NEWBURGH, NY 12550-1740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/23/2019
Last updated
03/11/2020
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