Individual
MRS. AMANDA STRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 490-9598
Mailing address
2855 TELEGRAPH AVE STE 515, BERKELEY, CA 94705-1151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6006-125
WI
Other
Enumeration date
06/20/2016
Last updated
12/17/2021
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