Individual
AMY LEE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PINE ST, HAMBURG, NY 14075
(716) 646-4991
(716) 646-4990
Mailing address
16 NORTHRIDGE DR, ARCADE, NY 14009-1028
(585) 969-2910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7062
NY
Other
Enumeration date
09/22/2011
Last updated
11/20/2023
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