Icenhower, Amanda

Icenhower, Amanda is an sole proprietor health care provider with primary practice located at 8495 Crater Lake Hwy 11Cm, White City OR 97503-3011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Icenhower, Amanda can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy 11Cm White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L7414 Oregon
Behavioral Health & Social Service Providers / Social Worker 104100000X A4107 Oregon

Profile Details

NPI number 1265895767
LBN Legal business name Icenhower, Amanda
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2016
Last updated Apr 2nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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