IndividualActive
Amanda Grundstrom
NPI 1093694101 · Mental Health Counselor · Cedar Crest, NM
Provider details
- NPI number
- 1093694101
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
3813 N Pole Loop Ne
Rio Rancho, NM 87144-5379
Registry dates
- Enumerated
- 2025-09-02
- Last updated
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.