Individual
AMANDA JEAN TOMASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1500 NE IRVING ST, PORTLAND, OR 97232-2243
(361) 212-3552
Mailing address
1006 EDINBURGH ST, VICTORIA, TX 77904-2790
(361) 212-3552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R12006
OR
Other
Enumeration date
06/18/2025
Last updated
11/03/2025
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