Individual
AMANDA LEIGH OWENSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6929 NW FRIBERG STRUNK ST STE 270, CAMAS, WA 98607-7070
(360) 627-1359
(360) 282-1022
Mailing address
6929 NW FRIBERG STRUNK ST STE 270, CAMAS, WA 98607-7070
(360) 627-1359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19R27
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001347
CO
101YM0800X
Mental Health Counselor
A5812
OR
101YM0800X
Mental Health Counselor
Primary
SC61106588
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-2019
MSW
CA
Enumeration date
09/10/2018
Last updated
05/07/2025
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