Individual
AMANDA VISSERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LPCC, LMHC, PPSC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8679
CA
101YM0800X
Mental Health Counselor
LH61129627
WA
101YP2500X
Professional Counselor
Primary
8679
CA
Other
Enumeration date
06/08/2016
Last updated
12/21/2024
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