Amanda J Ihle BA, CDPT

NPI 1417340761 - Counselor - 101YA0400X

NPI Details
NPI 1417340761
Gender Female
Enumeration Date 03/11/2015
Last Updated 03/11/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1601 E 4TH PLAIN BLVD
BLDG 17 STE B222
VANCOUVER WA, 98661-3753, US
Phone (360) 397-8484
Fax (360) 397-8494
Business Location
PO BOX 1845
VANCOUVER WA, 98668-1845, US
Phone (360) 397-8484
Fax (360) 397-8494
Toxanomy
Taxonomy Code 101YA0400X
License State Washington
License Number CO60456398
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According to our database, Ms. Amanda J Ihle BA, CDPT NPI is 1417340761, taxonomy code is 101YA0400X and license number is CO60456398, license state is located at Washington. Amanda J Ihle BA, CDPT physically located at 1601 E 4th Plain Blvd, Vancouver WA, 98661-3753. NPI Number Amanda J Ihle BA, CDPT has the Individual type.

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1417340761 NPI number is provided on an as is basis without warranty of any kind. 1417340761 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda J Ihle BA, CDPT are for informational purposes only.