Individual provider · Type 1 NPI

Amanda Vissering, LPCC, LMHC, PPSC

Professional Counselor · San Rafael, CA

NPI number 1972952042 Active

Practice location

30 Professional Center Pkwy
San Rafael, CA 94903-2757

Call (206) 572-0805 Map

Mailing address

8945 Golf Links Rd
Oakland, CA 94605-4124

Other practice locations

  • 445 Bellevue Ave Ste 6C, Oakland, CA 94610-4923 · (206) 317-4417

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8679 (CA)
Mental Health Counselor 101YM0800XLH61129627 (WA)
Mental Health Counselor 101YM0800X8679 (CA)

Professional Counselor: Definition to come...

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About NPI 1972952042

Amanda Vissering, LPCC, LMHC, PPSC's National Provider Identifier is 1972952042, issued on Jun 8, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Rafael, CA. The record was last updated on Dec 21, 2024.