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Individual

MS. AMANDA OETKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2928 HAMILTON BLVD LOWR E, SIOUX CITY, IA 51104-2424
(712) 202-0777
(712) 202-0780
Mailing address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 202-0777
(712) 202-0780

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001173
IA

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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