Individual provider · Type 1 NPI
Amanda Grundstrom
Mental Health Counselor · Cedar Crest, NM
NPI number
1093694101
Active
Practice location
12165 NM-14 B9
Cedar Crest, NM 87008
Mailing address
3813 N Pole Loop NE
Rio Rancho, NM 87144-5379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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- Lani WatkinsMental Health Counselor Cedar Crest, NM NPI 1912865007
About NPI 1093694101
Amanda Grundstrom's National Provider Identifier is 1093694101, issued on Sep 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cedar Crest, NM. The record was last updated on Sep 2, 2025.