Individual provider · Type 1 NPI

Amanda Jardine, MSW

Counselor · South Bend, IN

NPI number 1124347133 Active

Practice location

403 E Madison St
South Bend, IN 46617-2322

Call (574) 234-0061 Map

Fax (574) 283-1209

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124347133

Amanda Jardine, MSW's National Provider Identifier is 1124347133, issued on Jun 1, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Bend, IN. The record was last updated on Jun 1, 2010.