Individual
AMANDA MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMHC
Contact information
Practice address
506 E BREMER AVE, WAVERLY, IA 50677-1748
(319) 559-1065
(319) 575-6065
Mailing address
PO BOX 102, WAVERLY, IA 50677-0102
(319) 559-1065
(319) 575-6065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
096544
IA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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