Individual
MARYBETH AMPLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, ATR-BC.
Contact information
Practice address
2 MANHATTANVILLE RD STE 203, PURCHASE, NY 10577-2118
(800) 835-2362
Mailing address
PO BOX 48392, CUMBERLAND, NC 28331-8392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC014318
DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS.
PA
Enumeration date
05/03/2022
Last updated
07/06/2022
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