Individual
AMANDA MICHELLE DORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1890 N REVERE CT, AURORA, CO 80045-7464
(303) 724-7416
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC007053
PA
101YM0800X
Mental Health Counselor
Primary
LPC.0015406
CO
101YP2500X
Professional Counselor
PC007053
PA
Other
Enumeration date
07/27/2013
Last updated
04/29/2024
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