Individual
AMANDA LENOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
80 5TH AVE, SUITE 903, NEW YORK, NY 10011-8002
(212) 633-9162
Mailing address
2831 43RD ST, ASTORIA, NY 11103-2101
(214) 675-4913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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