Individual
AMANDA MITHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
49725 COUNTY ROAD 83, STAPLES, MN 56479
(218) 894-8067
Mailing address
49725 COUNTY ROAD 83, STAPLES, MN 56479
(218) 894-8067
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1529
MN
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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