AMANDA ETUBE MA NPI 1447863642

NPI Information

  • NPI: 1447863642
  • Provider Name: AMANDA ETUBE, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 210 COMMERCE ST STE B
    OCCOQUAN, VA
    ZIP 22125
  • Phone: (703) 646-1739

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NPI Details

Amanda Etube, MA is a mental health counselor in Occoquan, VA. Amanda Etube, MA NPI is 1447863642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

210 COMMERCE ST STE B
OCCOQUAN, VA
ZIP 22125-707
Phone: (703) 646-1739

The enumeration date for this NPI number is 8/26/2020 and was last updated on 8/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275049082OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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