Individual provider · Type 1 NPI

Amanda Jean Smith

Professional Counselor · Broomfield, CO

NPI number 1205575008 Active

Practice location

80 Garden Ctr
Broomfield, CO 80020-7087

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACD.0002474 (CO)
Professional Counselor Primary 101YP2500XLPCC.0020539 (CO)

Professional Counselor: Definition to come...

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About NPI 1205575008

Amanda Jean Smith's National Provider Identifier is 1205575008, issued on May 31, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broomfield, CO. The record was last updated on Jan 7, 2025.