Individual
AMANDA RENEE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LMHC
Contact information
Practice address
1200 WESTLAKE AVE N, SUITE 810, SEATTLE, WA 98109-3543
(440) 667-8430
Mailing address
1200 WESTLAKE AVE N, SUITE 810, SEATTLE, WA 98109-3543
(440) 667-8430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60348098
WA
103TS0200X
School Psychologist
OH3083789
OH
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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