Individual provider · Type 1 NPI

Amanda Grace Garoutte-Mohammed, LPC-IT

Professional Counselor · Waukesha, WI

NPI number 1396439592 Active

Practice location

N19W24400 Riverwood Dr Ste 350
Waukesha, WI 53188-1182

Mailing address

N19W24400 Riverwood Dr Ste 350-441
Waukesha, WI 53188-1166

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5468-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1396439592

Amanda Grace Garoutte-Mohammed, LPC-IT's National Provider Identifier is 1396439592, issued on Jun 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waukesha, WI. The record was last updated on Jun 8, 2023.