Amanda Lee Wiens, LPC

NPI #1477872844 in Fairview, Oklahoma

Provider Information

NPI Number: 1477872844
Entity Type: Individual
Name: Amanda Lee Wiens, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: May 25, 2010
Last Updated: Oct 25, 2023

Practice Location

Address: 1425 N MAIN ST
Address 2: STE 2
City: Fairview
State: Oklahoma
ZIP Code: 73737
Phone: (405) 664-7540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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