Individual
AMANDA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 MAIN ST, LUZERNE, PA 18709-1210
(570) 762-6358
Mailing address
181 MAIN ST APT B, AVOCA, PA 18641-2234
(570) 313-9347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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