Individual
MRS. AMANDA LYNE WENTWORTH-PUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TMHC
Contact information
Practice address
3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
(515) 256-8001
Mailing address
3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001580
IA
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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