Individual
AMBER SHORTSLEEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Mailing address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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