Individual
MRS. AMANDA D MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-7000
Mailing address
2116 HEADSVILLE RD, KEYSER, WV 26726-6453
(304) 813-0839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9454
MD
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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