Individual
AMANDA PFANNENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, LCAC
Contact information
Practice address
3000 BROADWAY AVE, HAYS, KS 67601-1916
(800) 423-1342
(785) 628-3113
Mailing address
509 E ELM ST, SALINA, KS 67401-2353
(800) 423-1342
(785) 628-3113
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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