Individual
AMANDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12720 W NORTH AVE, BROOKFIELD, WI 53005-4637
(262) 785-1500
(262) 785-1555
Mailing address
3350 N 90TH ST, MILWAUKEE, WI 53222-3616
(262) 720-3739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10392125
WI
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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