Individual provider · Type 1 NPI

Amanda Mayer

Mental Health Counselor · Pocatello, ID

NPI number 1649569765 Active

Practice location

2055 Garrett Way, Ste 1
Pocatello, ID 83201-5100

Mailing address

PO Box 4908
Pocatello, ID 83205-4908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649569765

Amanda Mayer's National Provider Identifier is 1649569765, issued on Mar 29, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Mar 29, 2011.