Individual
AMANDA LEIGH PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 WETMORE AVE, EVERETT, WA 98201
(425) 258-5270
Mailing address
2610 WETMORE AVE, EVERETT, WA 98201-2927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61023829
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61314225
WA
Other
Enumeration date
03/02/2020
Last updated
09/05/2022
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