Individual
AMANDA LEE DAVARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 W SAGINAW HWY STE B, GRAND LEDGE, MI 48837-1800
(517) 338-3090
(517) 338-3090
Mailing address
152 E WASHINGTON ST, PEWAMO, MI 48873-8710
(517) 881-9867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019745
MI
Other
Enumeration date
07/15/2019
Last updated
04/20/2023
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