IndividualActive
Amanda Lo
NPI 1104552678 · Mental Health Counselor · Sun Prairie, WI
Provider details
- NPI number
- 1104552678
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 132067-121 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1268 W Main St
Sun Prairie, WI 53590-1930
Phone: (834) 608-1122
Approximate (ZIP-level) locationGet directions
Mailing address
1268 W Main St
Sun Prairie, WI 53590-1930
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2022-07-27
- Certified
- 2022-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.