Individual
AMANDA CHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 918-8336
Mailing address
22521 CROWN CIR SE, YELM, WA 98597-9335
(913) 948-0096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
08/26/2019
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