Individual provider · Type 1 NPI
Amanda Mary Anderson, LPC
Professional Counselor · West Allis, WI
NPI number
1750897716
Active
Practice location
10201 W Lincoln Ave Ste 308
West Allis, WI 53227-2136
Mailing address
S98W12878 Loomis Rd
Muskego, WI 53150-4907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6729-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1750897716
Amanda Mary Anderson, LPC's National Provider Identifier is 1750897716, issued on Dec 28, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Allis, WI. The record was last updated on Dec 28, 2017.