Martin, Amanda Gail

Martin, Amanda Gail is an individual health care provider with primary practice located at 1450 E 10Th St , Rolla MO 65401-3648. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martin, Amanda Gail can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
1450 E 10Th St Rolla MO 65401-3648
Phone: (888) 403-1071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2013033662 Missouri

Profile Details

NPI number 1710314919
LBN Legal business name Martin, Amanda Gail
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Sep 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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