Individual provider · Type 1 NPI

Amanda Leann Northcutt

Counselor · Wagoner, OK

NPI number 1679073613 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 485-0242 Map

Fax (918) 485-0204

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679073613

Amanda Leann Northcutt's National Provider Identifier is 1679073613, issued on Feb 16, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on Feb 16, 2018.