Individual provider · NPI-1
Lorena Amador
Counselor, Mental Health · Astoria, NY
NPI number1235763483
StatusActive
Last updated in NPPESFeb 26, 2020
Details
- NPI
- 1235763483
- Entity type
- Individual (NPI-1)
- Name
- Lorena Amador
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2020
- Certification date
- Feb 26, 2020
- Last updated
- Feb 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | P101620 | NY | Yes |
Practice location
3636 33rd St Ste 502Astoria, NY 11106-2329
Phone 718-426-8110
Mailing address
3425 Linden Pl Apt 2hFlushing, NY 11354-2801
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