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NPI Code Detail

MEDICARE: AMANDA R MARKVA

MEDICARE: AMANDA R MARKVA
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
1101YM0800XMental Health CounselorMC70073052WA

General Provider Information

NPI Number : 1841696457
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA R MARKVA
Provider Business Mailing Address
First Line : PO BOX 2394
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-8455
Country : US
Telephone Number : 360-688-4827
Fax Number :
Provider Business Practice Location Address
First Line : 1126 S GOLD ST
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-3768
Country : US
Telephone Number : 360-807-4929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2014
Last Update Date : 03/06/2026

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Directions to “ AMANDA R MARKVA ” Practice Location

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