Individual
AMANDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
198 BROOKSHIRE CRK, PHILADELPHIA, PA 19116-1207
(215) 779-0462
Mailing address
198 BROOKSHIRE CRK, PHILADELPHIA, PA 19116-1207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018085
PA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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