Individual
AMANDA LU SAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Mailing address
103 NAYLOR RD, MOSSYROCK, WA 98564-9507
(253) 255-6307
(360) 736-3139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00058719
WA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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