Most Relevant Information
Provider Data
| NPI Number: | 1003589565 |
| Provider Name: | AMANDA JOY REWA MA, LLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6451019569 |
Most Important Dates
| Enumeration Date: | 07/29/2021 |
| Last Updated: | 07/29/2021 |
Provider Practice Location
221 TROWBRIDGE ST NE APT 208
GRAND RAPIDS
MI
495031891
Practice Location Phone/Fax
| Phone: | 2317558284 |
| Fax: |
Provider Mailing Location
370 PRESERVATION DR NE
ADA
MI
493019667
Provider Mailing Phone/Fax
| Phone: | 2315778284 |
| Fax: |