Individual
AMANDA DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
5683 BRILLIANT CIR, HOWELL, MI 48855-8389
(810) 533-1707
Mailing address
5683 BRILLIANT CIR, HOWELL, MI 48855-8389
(810) 533-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012301
MI
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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