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General NPI Number Information
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NPI Number | 1578320602
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Entity Type | Individual
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Provider Name | AMANDA FRANKEL
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Gender | Female
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 704 W HOOD AVE STE D
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City | SISTERS
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State | OR
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Zip | 97759-1529
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Country | US
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Telephone | 802-279-6085
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Fax |
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Provider Business Mailing Address
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Address Line | 653 N FREEMONT ST
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City | SISTERS
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State | OR
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Zip | 97759-3125
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Country | US
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Telephone | 802-595-3224
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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