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General NPI Number Information
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NPI Number | 1851229470
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Entity Type | Individual
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Provider Name | AMANDA KATHARINA WEISE LPC
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 2151 EMRICK BLVD STE 201
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City | BETHLEHEM
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State | PA
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Zip | 18020-8039
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Country | US
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Telephone | 484-537-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 5TH AVE
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-4720
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Country | US
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Telephone |
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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 | PC019644
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License Number State | PA
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