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Individual

MS. AMY BETH WAPNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ADTR, NYS CAT

Contact information

Practice address
56 FAIRVIEW ST, HUNTINGTON, NY 11743-3533
(631) 423-6518
(631) 423-6518
Mailing address
56 FAIRVIEW ST, HUNTINGTON, NY 11743-3533
(631) 423-6518
(631) 423-6518

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000368-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000368-1
CAT LICENSE
NY
01
1984-ADTR-144
ACADEMY DMT REGISTERED
Enumeration date
05/21/2007
Last updated
07/08/2007
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