Individual
AMANDA RENEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CC, LMT
Contact information
Practice address
1105 15TH AVE STE F, LONGVIEW, WA 98632-3080
(360) 703-6499
(360) 838-9902
Mailing address
1105 15TH AVE STE F, LONGVIEW, WA 98632-3080
(360) 703-6499
(360) 838-9902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CL61519127
WA
225700000X
Massage Therapist
MA00023855
WA
Other
Enumeration date
05/09/2008
Last updated
05/09/2024
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