Individual
AMANDA BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC-P CASAC
Contact information
Practice address
6265 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4833
(716) 204-5552
Mailing address
6265 SHERIDAN DRIVE, WILLIAMSVILLE, NY 14221
(716) 204-5552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19851
NY
101YM0800X
Mental Health Counselor
Primary
P76439
NY
Other
Enumeration date
09/02/2012
Last updated
04/05/2013
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