Individual provider · Type 1 NPI

Amanda Etube, MA

Mental Health Counselor · Occoquan, VA

NPI number 1447863642 Active

Practice location

210 Commerce St Ste B
Occoquan, VA 22125-7707

Mailing address

PO Box 711
Occoquan, VA 22125-0711

Other practice locations

  • 9300 Forest Point Cir Ste 125, Manassas, VA 20110-4766 · (703) 646-1739

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447863642

Amanda Etube, MA's National Provider Identifier is 1447863642, issued on Aug 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Occoquan, VA. The record was last updated on Aug 26, 2020.