Amanda Ingenito
Counselor, Mental Health in Plymouth, MA. Individual provider (NPI-1).
NPI number1891139655
StatusActive
Last updated in NPPESApr 24, 2013
Details
- NPI
- 1891139655
- Entity type
- Individual (NPI-1)
- Name
- Amanda Ingenito
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2013
- Last updated
- Apr 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
119 Shallow Pond LnPlymouth, MA 02360-1663
Phone 774-283-5889
Mailing address
119 Shallow Pond LnPlymouth, MA 02360-1663
Phone 774-283-5889
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