Individual
AMY BUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP-MHC
Contact information
Practice address
1170 RIVERFRONT CTR, AMSTERDAM, NY 12010-4600
(518) 929-7000
Mailing address
1170 RIVERFRONT CTR, AMSTERDAM, NY 12010-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18-P125759-01
NY
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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