Individual
AMANDA MARIE GALLIPEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MAIN ST, WHITESBORO, NY 13492-1048
(315) 749-3476
Mailing address
211 SCHOOL RD, UTICA, NY 13502-2432
(315) 794-5796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009897-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009897-01
—
NY
Enumeration date
10/09/2019
Last updated
05/15/2023
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