Individual
AMANDA MARIE YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ACD
Contact information
Practice address
6909 S HOLLY CIR STE 304, CENTENNIAL, CO 80112-1045
(720) 295-1599
Mailing address
10597 ASHFIELD ST, HIGHLANDS RANCH, CO 80126-8071
(305) 710-4007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001480
CO
101YP2500X
Professional Counselor
Primary
LPC.0016491
CO
Other
Enumeration date
08/14/2017
Last updated
09/20/2021
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