Organization
AMANDA REGAN MENTAL HEALTH COUNSELING, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA REGAN (THERAPIST)
(585) 420-7280
Entity
Organization
Contact information
Practice address
722 WEILAND RD STE 200, ROCHESTER, NY 14626-3957
(585) 420-7280
(585) 720-0054
Mailing address
722 WEILAND RD STE 200, ROCHESTER, NY 14626-3957
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6597-1
LICENSED MENTAL HEALTH COUNSELOR
NY
Enumeration date
10/01/2019
Last updated
10/01/2019
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