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Amanda Renee Hart, CC,LMT
Mental Health Counselor in Longview, Washington
NPI 1164699013

Amanda Renee Hart is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Amanda Renee Hart practices in Longview, WA and has the professional credentials of CC,LMT. The NPI Number for Amanda Renee Hart is 1164699013 and holds a License No. MA00023855 (Washington).

The current practice location address for Amanda Renee Hart is 1105 15Th Ave Ste F, Longview, WA and can be reached out via phone at 360-703-6499 and via fax at 360-838-9902.

Location: 1105 15Th Ave Ste F, Longview, WA, 98632-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164699013
Provider Name
Amanda Renee Hart
Credential
CC,LMT
Provider Entity Type
Individual
Gender
Female
Address
1105 15Th Ave Ste F, Longview, WA, 98632-3080
Phone Number
360-703-6499
Fax Number
360-838-9902
Provider Enumeration Date
05/09/2008
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1105 15Th Ave Ste F
City
Longview
State
Washington
Zip
98632-3080
Phone Number
360-703-6499
Fax Number
360-838-9902
person
Provider Business Mailing Address Details
Address
1105 15Th Ave Ste F
City
Longview
State
Washington
Zip
98632-3080
Phone Number
360-703-6499
Fax Number
360-838-9902
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CL61519127 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00023855 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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