Individual
AMANDA L WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
22612 95TH PL W, EDMONDS, WA 98020-4524
(425) 583-4134
Mailing address
22612 95TH PL W, EDMONDS, WA 98020-4524
(425) 583-4134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61475294
WA
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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