Individual provider · Type 1 NPI

Amanda Lee Tardif

Mental Health Counselor · Grants Pass, OR

NPI number 1437797487 Active

Practice location

324 SW Ramsey Ave
Grants Pass, OR 97527-5529

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1437797487

Amanda Lee Tardif's National Provider Identifier is 1437797487, issued on Dec 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Jan 3, 2020.