Individual provider · NPI-1

Amanda Alyse Ahearn, BA

Counselor, Mental Health · Hackensack, NJ

NPI number1083858294
StatusActive
Last updated in NPPESMay 1, 2009

Details

NPI
1083858294
Entity type
Individual (NPI-1)
Name
Amanda Alyse Ahearn
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2009
Last updated
May 1, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health100840104NJYes

Practice location

415 Hudson St
Apt 1e
Hackensack, NJ 07601-6606

Phone 201-370-9227

Mailing address

415 Hudson St
Apt 1e
Hackensack, NJ 07601-6606

Phone 201-370-9227

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