IndividualActive
Amanda Wallen
NPI 1780239145 · Addiction (Substance Use Disorder) Counselor · Wasilla, AK
Provider details
- NPI number
- 1780239145
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
Po Box 876741
Wasilla, AK 99687-6741
Registry dates
- Enumerated
- 2019-08-02
- Last updated
- 2019-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.