Individual
MS. AMANDA NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 279-5908
Mailing address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012448
NY
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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