| Amanda Cannamela Llc | |
|
310 Hanon Dr Williston VT 05495-8857 | |
| (802) 399-9337 | |
| Not Available |
| Full Name | Amanda Cannamela Llc |
|---|---|
| Speciality | Counselor |
| Location | 310 Hanon Dr, Williston, Vermont |
| Authorized Official Name and Position | Amanda Cannamela (PROVIDER) |
| Authorized Official Contact | 8023999337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cannamela Llc Po Box 1497 Williston VT 05495-1497 Ph: (802) 399-9337 | Amanda Cannamela Llc 310 Hanon Dr Williston VT 05495-8857 Ph: (802) 399-9337 |
| NPI Number | 1629848163 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 9032552716 |
|---|---|
| Medicare Enrollment ID | O20240209000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629848163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amanda L. Cannamela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215184007 PECOS PAC ID: 8729421409 Enrollment ID: I20240209001080 |
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