Individual provider · Type 1 NPI

Amanda Shaneberger

Mental Health Counselor · Grand Rapids, MI

NPI number 1154476398 Active

Practice location

2118 3 Mile Rd NW
Grand Rapids, MI 49544-1425

Call (616) 222-3720 Map

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401010181 (MI)
Mental Health Counselor Primary 101YM0800X6401010181 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1154476398

Amanda Shaneberger's National Provider Identifier is 1154476398, issued on Jan 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 11, 2023.