Individual
AMANDA MARY KANINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 STEELHAMMER LANE, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
3510 STEELHAMMER LANE, CENTRALIA, WA 98531
(360) 623-8020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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