Individual provider · Type 1 NPI

Amanda Willis-Martin, LADC

Addiction (Substance Use Disorder) Counselor · Bemidji, MN

NPI number 1265147623 Active

Practice location

1705 Anne St NW
Bemidji, MN 56601-6151

Call (218) 333-2006 Map

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306564 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265147623

Amanda Willis-Martin, LADC's National Provider Identifier is 1265147623, issued on Jan 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bemidji, MN. The record was last updated on Sep 11, 2025.