AMANDA VESTAL

COON RAPIDS, MN
NPI1851963748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc04032)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305175)
Enumeration Date2021-07-12
Last Update Date2023-10-06
Business Address
AMANDA VESTAL LPCC, LADC
299 COON RAPIDS BLVD NW STE 100
COON RAPIDS, MN 55433-5869
Phone number: 651-240-2206
Mailing Address
AMANDA VESTAL LPCC, LADC
11417 LILY ST NW
COON RAPIDS, MN 55433-2704
Phone number: 612-423-0575