Individual
AMANDA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
7 MARKET ST, DOVER PLAINS, NY 12522-5172
(845) 486-2703
Mailing address
29 N HAMILTON ST, POUGHKEEPSIE, NY 12601-2541
(845) 276-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P129643
NY
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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