Individual provider · Type 1 NPI

Amanda Marie Wallen

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1780239145 Active

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Call (907) 373-4732 Map

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780239145

Amanda Marie Wallen's National Provider Identifier is 1780239145, issued on Aug 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Aug 2, 2019.