Individual
AMANDA R PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3601 SW 29TH ST, STE. 214, TOPEKA, KS 66614-2078
(785) 477-9117
Mailing address
3601 SW 29TH ST, STE. 214, TOPEKA, KS 66614-2078
(785) 477-9117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC2245
KS
Other
Enumeration date
08/11/2008
Last updated
12/29/2016
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