Individual
AMANDA LOUISE ECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MS, NCC
Contact information
Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1142670
NATIONAL CERTIFIED COUNSELOR
OR
Enumeration date
04/27/2018
Last updated
05/07/2019
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