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Individual

AMANDA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1951 PINE HALL RD STE 100, STATE COLLEGE, PA 16801-5107
(814) 248-5855
Mailing address
168 WILSHIRE BLVD, JOHNSTOWN, PA 15905-5900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
FL
101YP2500X
Professional Counselor
Primary
PC013004
PA

Other

Enumeration date
08/29/2016
Last updated
04/10/2026
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