Organization
KINTSUGI COUNSELING PLLC
Active
Other names
Amanda Rasey Walker
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA MARIE WALKER LCPC (THERAPIST)
(406) 868-0228
Entity
Organization
Contact information
Practice address
1601 2ND AVE N STE 200A, GREAT FALLS, MT 59401-3243
(406) 868-0228
(877) 828-5889
Mailing address
1601 2ND AVE N STE 200A, GREAT FALLS, MT 59401-3243
(406) 868-0227
(877) 828-5889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11111
—
MT
Enumeration date
06/23/2021
Last updated
06/23/2021
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