Individual
AMANDA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 TRADE CENTRE WAY STE 140, PORTAGE, MI 49002-0411
(517) 882-3732
Mailing address
650 TRADE CENTRE WAY STE 140, PORTAGE, MI 49002-0411
(517) 882-2732
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2014044331
MO
101YP2500X
Professional Counselor
Primary
6401224845
MI
Other
Enumeration date
10/03/2016
Last updated
01/23/2025
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