Individual
AMANDA ILENE BANKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1000 HASTINGS ST, TRAVERSE CITY, MI 49686-3445
(231) 947-8110
Mailing address
515 SECOND ST, TRAVERSE CITY, MI 49684-2218
(989) 390-5391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012508
MI
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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