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1093948630
AMANDA VANTASSEL
PORTLAND, ME
NPI
1093948630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NH 680)
Enumeration Date
2009-08-31
Last Update Date
2022-07-21
Business Address
-- AMANDA VANTASSEL M.A., LCMHC
575 FOREST AVE
PORTLAND, ME 04101-1513
Phone number: 207-772-1187
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Mailing Address
-- AMANDA VANTASSEL M.A., LCMHC
575 FOREST AVE
PORTLAND, ME 04101-1513
Phone number: 207-772-1187
Copy
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