Individual
AMANDA CAROLE LUCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
111 11TH AVE NE, AUSTIN, MN 55912-3316
(952) 767-4200
(952) 767-4211
Mailing address
5860 BAKER RD, MINNETONKA, MN 55345-5903
(952) 767-4200
(952) 767-4211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4070
MINNESOTA BOARD OF MARRIAGE AND FAMILY THERAPY
MN
Enumeration date
01/04/2021
Last updated
03/26/2025
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