Individual
MRS. AMANDA EVELYN STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 STATE ST, PETOSKEY, MI 49770-2749
(231) 348-2110
Mailing address
PO BOX 655, ALPENA, MI 49707-0655
(989) 736-9815
(989) 358-3734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401018141
MI
101YM0800X
Mental Health Counselor
6401018141
MI
101YP2500X
Professional Counselor
Primary
6401018141
MI
101YS0200X
School Counselor
IF0000000335410
MI
Other
Enumeration date
02/07/2020
Last updated
01/25/2021
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