Individual
AMANDA D. BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
LAKE PLAZA 2 ROUTE 706 EAST, RR7 BOX 7117, MONTROSE, PA 18801
(570) 278-3393
Mailing address
LAKE PLAZA 2 ROUTE 706 EAST, RR7 BOX 7117, MONTROSE, PA 18801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC005660
PA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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