Individual provider · Type 1 NPI

Amanda Deckelbaum

Mental Health Counselor · Longmont, CO

NPI number 1003639568 Active

Practice location

720 100 Yearparty Ct
Longmont, CO 80504-8512

Call (720) 449-6676 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003639568

Amanda Deckelbaum's National Provider Identifier is 1003639568, issued on Nov 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longmont, CO. The record was last updated on Nov 4, 2024.