Most Relevant Information
Provider Data
NPI Number: | 1003304734 |
Provider Name: | AMANDA LANCASTER |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 04/27/2018 |
Last Updated: | 04/27/2018 |
Provider Practice Location
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER
WA
986613717
Practice Location Phone/Fax
Phone: | 3603978484 |
Fax: | 3603978494 |
Provider Mailing Location
PO BOX 1845
VANCOUVER
WA
986681845
Provider Mailing Phone/Fax
Phone: | 3603978484 |
Fax: | 3603978494 |