Individual
AMANDA MARIE VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MHP
Contact information
Practice address
3042 ANDERSON RD SE, PORT ORCHARD, WA 98366-8751
(253) 509-2692
Mailing address
3042 ANDERSON RD SE, PORT ORCHARD, WA 98366-8751
(253) 509-2692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60788524
WA
1041C0700X
Clinical Social Worker
SC60792406
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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