Individual
AMANDA KAYE RUKAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
1963 SAINT ST # 75, RICHLAND, WA 99354-2101
(509) 980-2614
Mailing address
1963 SAINT ST # 75, RICHLAND, WA 99354-2101
(509) 980-2614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61262226
WA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/20/2020
Last updated
04/15/2022
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