Willis-Martin, Amanda

Willis-Martin, Amanda is an individual health care provider with primary practice located at 1705 Anne St Nw , Bemidji MN 56601-6151. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Willis-Martin, Amanda can be contacted via phone (218) 333-2006.

Contact Information

Primary practice address
1705 Anne St Nw Bemidji MN 56601-6151
Phone: (218) 333-2006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 306564 Minnesota

Profile Details

NPI number 1265147623
LBN Legal business name Willis-Martin, Amanda
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2023
Last updated Jun 20th, 2023 - about 3 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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