Individual
MRS. AMANDA WIEGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
100 E SYBELIA AVE STE 380, MAITLAND, FL 32751-4775
(407) 448-9521
Mailing address
100 EAST SYBELIA AVENUE SUITE 380, MAITLAND, FL 32751-4615
(407) 448-9521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13124
FL
Other
Enumeration date
08/28/2017
Last updated
03/01/2022
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