Individual
STACI AMANDA AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
9957 CROSSPOINT BLVD STE 150, INDIANAPOLIS, IN 46256-3391
(317) 992-1919
Mailing address
9957 CROSSPOINT BLVD STE 150, INDIANAPOLIS, IN 46256-3391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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