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Individual

AMANDA L. NELSON-GERUNTHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1903 W GARLAND AVE STE 9432, SPOKANE, WA 99205-2519
(503) 395-7547
Mailing address
PO BOX 9432, SPOKANE, WA 99209-9432
(503) 395-7547

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60452414
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LH60452414
WA STATE DEPT OF HEALTH
WA
Enumeration date
04/20/2009
Last updated
11/03/2023
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