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NPI Code Detail

MEDICARE: AMANDA BACKENSTOES

MEDICARE:   AMANDA  BACKENSTOES
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1316541857
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BACKENSTOES
Provider Business Mailing Address
First Line : 781 POPLAR CHURCH RD
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2314
Country : US
Telephone Number : 717-245-9099
Fax Number :
Provider Business Practice Location Address
First Line : 781 POPLAR CHURCH RD
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2314
Country : US
Telephone Number : 717-245-9099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2020
Last Update Date : 06/22/2024

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Directions to “ AMANDA BACKENSTOES ” Practice Location

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