Individual
AMANDA NICOLE WALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
769 SUN STONE DR SW, BYRON CENTER, MI 49315-8396
(616) 307-7509
Mailing address
3444 RIVINGTON DR, HUDSONVILLE, MI 49426-7761
(616) 699-5384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2267120336
MI
101YP2500X
Professional Counselor
Primary
6401017120
MI
Other
Enumeration date
04/07/2016
Last updated
06/22/2023
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