Individual provider · Type 1 NPI

Amanda Lo

Mental Health Counselor · Sun Prairie, WI

NPI number 1104552678 Active

Practice location

1268 W Main St
Sun Prairie, WI 53590-1930

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X132067-121 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1104552678

Amanda Lo's National Provider Identifier is 1104552678, issued on Jul 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sun Prairie, WI. The record was last updated on Jul 27, 2022.