Individual
AMANDA CROSSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 E YAMPA ST STE 2G, COLORADO SPRINGS, CO 80909-5061
(719) 645-6549
Mailing address
3650 QUEEN ANNE WAY, COLORADO SPRINGS, CO 80917-5490
(719) 645-6549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0013537
CO
101YP2500X
Professional Counselor
Primary
0013537
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000146406
—
CO
Enumeration date
11/10/2014
Last updated
04/01/2022
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