Individual
AMANDA L ALICEA MARCIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10116 36TH AVENUE CT SW STE 200, LAKEWOOD, WA 98499-4792
(253) 553-3319
Mailing address
10116 36TH AVENUE CT SW STE 200, LAKEWOOD, WA 98499-4792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHCA.MC.70080327
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
04/03/2026
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