Individual
AMANDA J MENGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(406) 240-9015
Mailing address
246 W 12TH ST, LAUREL, MT 59044-1737
(406) 240-9015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61085822
WA
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-64806
MT
1041C0700X
Clinical Social Worker
SC61129495
WA
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61446582
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2020
Last updated
03/26/2024
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