Individual provider · Type 1 NPI

Amanda Vestal, LPCC, LADC

Mental Health Counselor · Coon Rapids, MN

NPI number 1851963748 Active

Practice location

299 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-5869

Call (651) 240-2206 Map

Fax (612) 466-5677

Other practice locations

  • 11417 Lily St NW, Coon Rapids, MN 55433-2704 · (612) 423-0575

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X305175 (MN)
Mental Health Counselor Primary 101YM0800XCC04032 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1851963748

Amanda Vestal, LPCC, LADC's National Provider Identifier is 1851963748, issued on Jul 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 9, 2024.