Vestal, Amanda

Vestal, Amanda is an individual health care provider with primary practice located at 299 Coon Rapids Blvd Nw Ste 100 , Coon Rapids MN 55433-5869. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Vestal, Amanda can be contacted via phone (651) 240-2206.

Contact Information

Primary practice address
299 Coon Rapids Blvd Nw Ste 100 Coon Rapids MN 55433-5869
Phone: (651) 240-2206
Fax: (612) 466-5677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305175 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC04032 Minnesota

Profile Details

NPI number 1851963748
LBN Legal business name Vestal, Amanda
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Oct 6th, 2023 - about 2 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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