Individual
AMY PRADNA-WAUGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LLMFT
Contact information
Practice address
6070 NEWPORT RD, PORTAGE, MI 49002-9234
(269) 409-3000
(269) 366-4004
Mailing address
6070 NEWPORT RD, PORTAGE, MI 49002-9234
(269) 409-3000
(269) 366-4004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401225130
MI
106H00000X
Marriage & Family Therapist
4151001086
MI
Other
Enumeration date
01/13/2023
Last updated
04/23/2025
About Stedi
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