Individual provider · Type 1 NPI
Amanda Walstedt, LPC, LCADC
Professional Counselor · West Orange, NJ
NPI number
1699598409
Active
Practice location
80 Main St Ste 500
West Orange, NJ 07052-5414
Mailing address
97 Bleecker St Apt 11
Jersey City, NJ 07307-3400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00381100 (NJ) |
| Professional Counselor Primary | 101YP2500X | 37PC00987400 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1699598409
Amanda Walstedt, LPC, LCADC's National Provider Identifier is 1699598409, issued on Nov 1, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Orange, NJ. The record was last updated on Nov 1, 2024.