Individual
MISS AMANDA KATE SORTWELL CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34507 SQUAW PASS RD, EVERGREEN, CO 80439-9727
(619) 550-3917
Mailing address
34507 SQUAW PASS RD, EVERGREEN, CO 80439-9727
(720) 642-6880
(720) 306-3526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0014119
CO
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2014
Last updated
09/17/2020
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