Individual
AMANDA OLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
205 WASHINGTON ST STE 200, BURLINGTON, IA 52601-5261
(319) 208-1280
Mailing address
205 WASHINGTON ST STE 200, BURLINGTON, IA 52601-5261
(319) 208-1280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080882
IA
Other
Enumeration date
05/17/2016
Last updated
08/19/2016
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