IndividualActive
Amanda Martin, LPC
NPI 1710314919 · Mental Health Counselor · Rolla, MO
Provider details
- NPI number
- 1710314919
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 2013033662 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1450 E 10th St
Rolla, MO 65401-3648
Phone: (888) 403-1071
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Community
Clinton, MO 64735-8804
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2019-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.