Individual
AMANDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(815) 600-5635
Mailing address
1202 W FRANKLIN ST APT 8, SHELTON, WA 98584-2501
(815) 600-5635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61043399
WA
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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