Individual
AMANDA KAY FANGMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5600 S 59TH ST, STE 104, LINCOLN, NE 68516-2386
(402) 484-0595
(402) 484-6306
Mailing address
7140 SAINT MARYS AVE, DENTON, NE 68339-3011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1184
NE
101YM0800X
Mental Health Counselor
Primary
9917
NE
Other
Enumeration date
03/14/2013
Last updated
01/08/2014
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