Individual
AMANDA JANE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
700 N 160TH ST APT A206, SHORELINE, WA 98133
(412) 897-7992
Mailing address
700 N 160TH ST APT A206, SHORELINE, WA 98133
(412) 897-7992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60398764
WA
Other
Enumeration date
12/29/2011
Last updated
09/12/2013
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