Individual
AMANDA ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
7204 MAIN ST, OVID, NY 14521
(315) 220-3201
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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