Individual
MISS AMANDA NICOLE HANSON
Active
Individual
MISS AMANDA NICOLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0643
NM
225700000X
Massage Therapist
Primary
60917543
WA
Other
Enumeration date
03/20/2019
Last updated
08/14/2026
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