| NPI | 1629848163 |
|---|---|
| Former Legal Business Name | AMANDA CANNAMELA |
| Entity Type | Organization |
| Authorized Contact | AMANDA CANNAMELA Provider 802-399-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |