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Individual

AMANDA R HAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
(813) 932-4960
Mailing address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
(813) 932-4960

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH15218
FL
101YM0800X
Mental Health Counselor
MH15218
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH15218
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
03/05/2018
Last updated
03/05/2018
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