Individual
AMANDA LONGMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLCSW PLMHP PCDGC
Contact information
Practice address
122 N ALLEN AVE, NORTH PLATTE, NE 69101-4466
(308) 636-6284
Mailing address
122 N ALLEN AVE, NORTH PLATTE, NE 69101-4466
(308) 636-6284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13855
NE
1041C0700X
Clinical Social Worker
Primary
8015
NE
Other
Enumeration date
06/07/2024
Last updated
06/10/2024
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