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NPI Code Detail

MEDICARE: AMANDA LISLE MAWSON MFT-I

MEDICARE: AMANDA LISLE MAWSON MFT-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistNV

General Provider Information

NPI Number : 1235061011
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LISLE MAWSON MFT-I
Provider Business Mailing Address
First Line : 180 COUNTRY ESTATES CIR
Second Line :
City : RENO
State : NV
Zip : 89511-4013
Country : US
Telephone Number : 775-870-5027
Fax Number :
Provider Business Practice Location Address
First Line : 180 COUNTRY ESTATES CIR
Second Line :
City : RENO
State : NV
Zip : 89511-4013
Country : US
Telephone Number : 775-870-5027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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