Individual
AMANDA K DOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MHC-LP
Contact information
Practice address
20 CHURCH ST STE 2, WHITE PLAINS, NY 10601-1926
(914) 491-5032
(914) 683-8054
Mailing address
20 CHURCH ST STE 2, WHITE PLAINS, NY 10601-1926
(914) 491-5032
(914) 683-8054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P104456
NY
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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