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Individual

AMY L LANPHERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
112 S CLINTON ST, OLEAN, NY 14760-3629
(716) 988-0988
Mailing address
112 S CLINTON ST, OLEAN, NY 14760-3629
(716) 640-2379

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007672
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00635098
NY
05
07568927
NY
Enumeration date
06/14/2013
Last updated
01/16/2025
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