Individual
MS. AMANDA KIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2329 4TH AVE, SEATTLE, WA 98121-1717
(206) 461-3649
Mailing address
1103 20TH AVE S, UNIT 1, SEATTLE, WA 98144-2967
(360) 434-5753
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG 60393424
COUNSELOR AGENCY AFFILIATED
WA
Enumeration date
12/03/2013
Last updated
08/03/2016
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