Individual
AMANDA SHANEBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 3 MILE RD NW, GRAND RAPIDS, MI 49544-1425
(616) 222-3720
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010181
MI
101YP2500X
Professional Counselor
6401010181
MI
Other
Enumeration date
01/25/2007
Last updated
12/11/2023
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