Individual
AMANDA K WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCAC
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001039A
IN
106H00000X
Marriage & Family Therapist
Primary
35001778A
IN
Other
Enumeration date
10/15/2012
Last updated
03/31/2017
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