Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6617 ARKANSAS AVE, HAMMOND, IN 46323-1629
(219) 246-3271
Mailing address
6617 ARKANSAS AVE, HAMMOND, IN 46323-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000959A
IN
Other
Enumeration date
04/25/2021
Last updated
11/14/2023
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