Organization
OSHKOSH MARRIAGE AND FAMILY THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLARE ANDERSON PHD (OWNER/THERAPIST/SUPERVISOR)
(920) 479-1996
Entity
Organization
Contact information
Practice address
2211 OREGON ST STE N, OSHKOSH, WI 54902-7001
(920) 479-1996
(920) 479-1997
Mailing address
2211 OREGON ST STE N, OSHKOSH, WI 54902-7001
(920) 479-1996
(920) 479-1997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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