Individual
AMANDA S HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1612 GENESEE ST, UTICA, NY 13502-5425
(315) 724-5173
Mailing address
1612 GENESEE ST, UTICA, NY 13502-5425
(315) 724-5173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004651-01
NY
101YM0800X
Mental Health Counselor
004651-1
NY
Other
Enumeration date
11/08/2011
Last updated
03/10/2023
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