Individual provider · Type 1 NPI
Amanda Elizabeth Tanner, LPCC, NCC
Professional Counselor · Gallup, NM
NPI number
1306604863
Active
Practice location
47 Mt. Mahogany
Gallup, NM 87301
Mailing address
PO Box 4837
Gallup, NM 87305-4837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CTB-2025-0696 (NM) |
Professional Counselor: Definition to come...
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About NPI 1306604863
Amanda Elizabeth Tanner, LPCC, NCC's National Provider Identifier is 1306604863, issued on Mar 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gallup, NM. The record was last updated on Mar 6, 2026.