IndividualActive
Amanda Tanner, LPCC, NCC
NPI 1306604863 · Professional Counselor · Gallup, NM
Provider details
- NPI number
- 1306604863
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC, NCC
- Sex
- Female
- Sole proprietor
- No
- License
- CTB-2025-0696 (NM)
Mailing address
Po Box 4837
Gallup, NM 87305-4837
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.