Organization
AMBER MOON WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN AMANDA WALERYSZAK LICSW (OWNER)
(707) 654-4325
Entity
Organization
Contact information
Practice address
426 STATE ST, PORTSMOUTH, NH 03801-4049
(707) 654-4325
(630) 883-0690
Mailing address
8A RIDGEWOOD DR, KITTERY, ME 03904-1046
(207) 337-0456
(630) 883-0690
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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