Individual
MS. AMANDA RAE MITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1100 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
(405) 271-8835
Mailing address
1100 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
(405) 271-8835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6019
OK
Other
Enumeration date
06/18/2014
Last updated
03/14/2016
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