person
Amanda Vestal, LPCC,LADC
Mental Health Counselor in Coon Rapids, Minnesota
NPI 1851963748

Amanda Vestal is a Mental Health Counselor based in Coon Rapids, MN and is specialized in Mental Health. Amanda Vestal practices in Coon Rapids, MN and has the professional credentials of LPCC,LADC. The NPI Number for Amanda Vestal is 1851963748 and holds a License No. 305175 (Minnesota).

The current practice location address for Amanda Vestal is 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN and can be reached out via phone at 651-240-2206 and via fax at 612-466-5677. You can also correspond with Amanda Vestal through the mailing address at 11417 LILY ST NW, COON RAPIDS, MN - 55433-2704 (mailing address contact number: 612-423-0575).

Location: 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN, 55433-2704
person
Provider Profile Details
NPI Number
1851963748
Provider Name
Amanda Vestal
Credential
LPCC,LADC
Provider Entity Type
Individual
Gender
Female
Address
299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN, 55433-2704
Phone Number
651-240-2206
Fax Number
612-466-5677
Provider Enumeration Date
07/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
299 Coon Rapids Blvd Nw Ste 100
City
State
Zip
55433-5869
Phone Number
651-240-2206
Fax Number
612-466-5677
person
Provider Business Mailing Address Details
Address
11417 Lily St Nw
City
State
Zip
55433-2704
Phone Number
612-423-0575
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CC04032 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
305175 (Minnesota)
Definition
Definition to come...
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