Amanda Elizabeth Tanner, LPCC, NCC
NPI #1306604863 in Gallup, New Mexico
Provider Information
- NPI Number
- 1306604863
- Entity Type
- Individual
- Name
- Amanda Elizabeth Tanner, LPCC, NCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC, NCC
- Enumeration Date
- Mar 11, 2024
- Last Updated
- Jan 2, 2026
Practice Location
- Address
- 515 PARK AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5806
- Phone
- (505) 879-9938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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