Female

Amanda L. Etlicher

Professional Counselor in Ripon, WI(View on Map)

Full Name

Amanda Lynn Etlicher

NPI Number

1972846194

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/05/2013

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

5860-125

Contact
Information

Purpose

Mailing
Location

Address

14 ARCADE GLEN RD
14 ARCADE GLEN RD

City

Ripon
Ripon

State

WI
WI

Postal Code

54971-2100
54971-2100

Country

US
US

Telephone Number

N/A
(920) 539-0225

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2023

Provider Address

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