Individual provider · Type 1 NPI

Amanda M. Longie, MAPC, MAHR, LADC

Addiction (Substance Use Disorder) Counselor · Bemidji, MN

NPI number 1295123230 Active

Practice location

403 4th St NW, Suite 300
Bemidji, MN 56601-3142

Fax (218) 333-3291

Mailing address

PO Box 3004
Bemidji, MN 56619-3004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304052 (MN)

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

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About NPI 1295123230

Amanda M. Longie, MAPC, MAHR, LADC's National Provider Identifier is 1295123230, issued on Dec 29, 2014. 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 Dec 29, 2014.