Amanda Asam, LMHC
Counselor, Mental Health in Middletown, NY. Individual provider (NPI-1).
NPI number1144966144
StatusActive
Last updated in NPPESMay 11, 2022
Details
- NPI
- 1144966144
- Entity type
- Individual (NPI-1)
- Name
- Amanda Asam
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2022
- Certification date
- May 10, 2022
- Last updated
- May 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 012367 | NY | Yes |
Practice location
236 Crystal Run Rd Ste 5Middletown, NY 10941-4060
Phone 845-639-6338
Mailing address
26 James CtPort Jervis, NY 12771-3143
Phone 845-649-6448
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