IndividualActive
Amanda Fetzner
NPI 1437660479 · Professional Counselor · Show Low, AZ
Provider details
- NPI number
- 1437660479
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LPC-23383 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
2650 E Show Low Lake Rd Ste 1
Show Low, AZ 85901-7955
Phone: (928) 537-4300
Fax: (928) 537-4320
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3630
Flagstaff, AZ 86003-3630
Additional practice locations (1)
- 2066 W Cholla Vista DrTucson, AZ 85704-1087Phone: (818) 788-1003
Registry dates
- Enumerated
- 2017-10-17
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.