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Individual
AMANDA PFANNENSTIEL
Active
Individual
AMANDA PFANNENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
622
KS
103T00000X
Psychologist
Primary
339
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200439600B
—
KS
Enumeration date
09/22/2006
Last updated
09/14/2020
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