Organization
AMANDA WISSLER COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WISSLER LCSW (LCSW)
(801) 448-8264
Entity
Organization
Contact information
Practice address
2078 PROSPECTOR AVE STE 1, PARK CITY, UT 84060-7587
(801) 448-8264
Mailing address
6749 N 2200 W APT B103, PARK CITY, UT 84098-8305
(801) 448-8264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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