Amanda L Alicea Marcial
Counselor in Lakewood, WA. Individual provider (NPI-1).
NPI number1245065622
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1245065622
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Alicea Marcial
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | MHCA.MC.70080327 | WA | Yes |
Practice location
10116 36th Avenue Ct Sw Ste 200Lakewood, WA 98499-4792
Phone 253-553-3319
Mailing address
10116 36th Avenue Ct Sw Ste 200Lakewood, WA 98499-4792
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