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Individual

AMANDA D FETZNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2650 E SHOW LOW LAKE RD STE 1, SHOW LOW, AZ 85901-7955
(928) 537-4300
(928) 537-4320
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-23383
AZ
106S00000X
Behavior Technician

Other

Enumeration date
10/17/2017
Last updated
10/06/2025
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