Individual
AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(816) 783-7982
Mailing address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(167) 837-9828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020029276
MO
101YP2500X
Professional Counselor
LCPC03431
KS
Other
Enumeration date
05/11/2021
Last updated
05/09/2023
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