Individual
AMANDA MARIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17821 CYPRESS DR APT 534, OMAHA, NE 68136-4292
(402) 305-1209
Mailing address
17821 CYPRESS DR APT 534, OMAHA, NE 68136-4292
(402) 305-1209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13911
NE
Other
Enumeration date
07/01/2024
Last updated
07/03/2024
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