Individual
MS. AMANDA DAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, CRC
Contact information
Practice address
181 UNION ST STE J, LYNN, MA 01901-1311
(781) 244-1950
Mailing address
1260 S LINDSAY RD UNIT 20, MESA, AZ 85204-6316
(480) 466-4821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16853
AZ
225C00000X
Rehabilitation Counselor
00272365
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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