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Individual

AMANDA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, NCC

Contact information

Practice address
2200 E WILLIAMS FIELD RD STE 200, GILBERT, AZ 85295-0764
(480) 710-0713
Mailing address
4129 S MARTINGALE RD, GILBERT, AZ 85297-8210
(480) 710-0713

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23558
AZ

Other

Enumeration date
08/27/2025
Last updated
11/09/2025
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