Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
11279 PERRY HWY, WEXFORD, PA 15090-9381
(724) 934-4130
Mailing address
11279 PERRY HWY, WEXFORD, PA 15090-9381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012891
PA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/03/2019
Last updated
03/31/2021
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