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Mrs. Amanda Joan Amicucci, CPC
Peer Specialist in Renton, Washington
NPI 1831594274

Amanda Joan Amicucci is a Peer Specialist based in Lake Tapps, WA. Amanda Joan Amicucci practices in Renton, WA and has the professional credentials of CPC. The NPI Number for Amanda Joan Amicucci is 1831594274 and holds a License No. (Washington).

The current practice location address for Amanda Joan Amicucci is 221 Wells Ave S, Renton, WA and can be reached out via phone at 425-528-2008. You can also correspond with Amanda Joan Amicucci through the mailing address at 2310 165TH AVENUE CT E, LAKE TAPPS, WA - 98391-4928 (mailing address contact number: 206-643-0283).

Location: 221 Wells Ave S, Renton, WA, 98391-4928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831594274
Provider Name
Amanda Joan Amicucci
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
221 Wells Ave S, Renton, WA, 98391-4928
Phone Number
425-528-2008
Fax Number
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
221 Wells Ave S
City
Renton
State
Washington
Zip
98057-2161
Phone Number
425-528-2008
Fax Number
person
Provider Business Mailing Address Details
Address
221 Wells Ave S
City
Renton
State
Washington
Zip
98057-2161
Phone Number
425-528-2008
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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