Organization
AMANDA R. EINSELEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA RENEE EINSELEN LMHC (MENTAL HEALTH COUNSELOR)
(574) 370-3978
Entity
Organization
Contact information
Practice address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
Mailing address
601 N MAIN ST, GOSHEN, IN 46528-2831
(574) 370-3978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002795A
IN
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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