Individual
AMANDA MICHELE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3005 LITHIA PINECREST RD, VALRICO, FL 33596-5630
(516) 315-9771
Mailing address
3987 14TH WAY NE, SAINT PETERSBURG, FL 33703-5412
(516) 315-9771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH18604
FL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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