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Individual

MS. AMANDA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC, NCC, BHP

Contact information

Practice address
6125 E INDIAN SCHOOL RD STE 1005, SCOTTSDALE, AZ 85251-5469
(623) 570-8661
Mailing address
9895 E ASTER DR, SCOTTSDALE, AZ 85260-4635
(480) 227-0219

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20338
AZ

Other

Enumeration date
09/26/2022
Last updated
09/29/2022
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