MEDICARE: AMANDA NELSON RICE LPC

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
1	101Y00000X	Counselor	6401015841	MI

General Provider Information

NPI Number	:	1629568787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA NELSON RICE LPC

Provider Business Mailing Address
First Line	:	831 LINCOLN AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-3364
Country	:	US
Telephone Number	:	517-712-8495
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 LINCOLN AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-3364
Country	:	US
Telephone Number	:	517-712-8495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2018
Last Update Date	:	11/25/2024

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Directions to “ AMANDA NELSON RICE LPC” Practice Location

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