Amanda Holeman, MHCA

Individual provider Active NPI Mental Health Counselor · Duvall, WA

NPI 1134873607 · NPPES record last updated Feb 3, 2022

Key facts

NPI
1134873607
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
26401 NE Richardson St # 201
Duvall, WA 98019-5030
Phone
(253) 514-1302
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA Yes

Addresses

Primary practice location

26401 NE Richardson St # 201
Duvall, WA 98019-5030

Mailing address

4250 W Lake Sammamish Pkwy NE Apt D2017
Redmond, WA 98052-5687
Phone (253) 514-1302

Electronic endpoints

TypeEndpointUseAffiliation
Other URL SimplePractice Direct

Other providers in Duvall, WA

All providers in Duvall, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.