Individual
AMANDA ELISE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
220 N BALLSTON AVE, SCOTIA, NY 12302-2533
(518) 374-3514
Mailing address
220 N BALLSTON AVE, SCOTIA, NY 12302-2533
(518) 374-3514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
11/16/2021
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