Individual provider · Type 1 NPI
Amanda Lynn Etlicher
Professional Counselor · Ripon, WI
NPI number
1972846194
Active
Practice location
14 Arcade Glen Rd
Ripon, WI 54971-2100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5860-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1972846194
Amanda Lynn Etlicher's National Provider Identifier is 1972846194, issued on Apr 5, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ripon, WI. The record was last updated on Aug 22, 2023.