Individual
AMANDA DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
(509) 826-3029
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
(509) 826-3029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61022940
WA
Other
Enumeration date
08/01/2017
Last updated
02/01/2024
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