Individual
AMANDA VANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 5TH AVE SE, SUITE 3000, CEDAR RAPIDS, IA 52403-2416
(319) 286-4545
(319) 368-3358
Mailing address
1030 5TH AVE SE, SUITE 3000, CEDAR RAPIDS, IA 52403-2416
(319) 286-4545
(319) 368-3358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
077501
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074575
—
IA
Enumeration date
06/05/2015
Last updated
07/21/2022
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