Individual
MS. AMANDA KARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
502 COURT STREET SUITE 210, UTICA, NY 13502
(315) 507-5800
(315) 507-5802
Mailing address
502 COURT STREET SUITE 210, UTICA, NY 13502
(315) 507-5800
(315) 507-5802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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