Individual
AMANDA SINGH BANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 841-0029
Mailing address
2519 NE 15TH AVE STE 151, PORTLAND, OR 97212-2356
(503) 567-4867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2016
Last updated
10/22/2021
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