person
Amanda Willis-martin, LADC
Addiction (Substance Use Disorder) Counselor in Bemidji, Minnesota
NPI 1265147623

Amanda Willis-martin is an Addiction (Substance Use Disorder) Counselor based in Sioux Falls, MN and is specialized in Addiction (Substance Use Disorder). Amanda Willis-martin practices in Bemidji, MN and has the professional credentials of LADC. The NPI Number for Amanda Willis-martin is 1265147623 and holds a License No. 306564 (Minnesota).

The current practice location address for Amanda Willis-martin is 1705 Anne St Nw, Bemidji, MN and can be reached out via phone at 218-333-2006. You can also correspond with Amanda Willis-martin through the mailing address at PO BOX 5074, SIOUX FALLS, SD - 57117-5074 (mailing address contact number: ).

Location: 1705 Anne St Nw, Bemidji, MN, 57117-5074
person
Provider Profile Details
NPI Number
1265147623
Provider Name
Amanda Willis-martin
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1705 Anne St Nw, Bemidji, MN, 57117-5074
Phone Number
218-333-2006
Fax Number
Provider Enumeration Date
01/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1705 Anne St Nw
City
State
Zip
56601-6151
Phone Number
218-333-2006
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Anne St Nw
City
State
Zip
56601-6151
Phone Number
218-333-2006
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
306564 (Minnesota)
Definition
Definition to come...
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