NPI 1497491559 · live from the CMS NPI Registry
Amanda Wissler Counseling, PLLC
Social Worker in Park City, UT. National Provider Identifier 1497491559, active.
NPI record
| NPI | 1497491559 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 2078 Prospector Ave Ste 1, Park City, UT 84060 |
| Practice phone | 801-448-8264 |
| Mailing address | 6749 N 2200 W Apt B103, Park City, UT 84098 |
| Enumerated | May 10, 2022 |
| Last updated | May 10, 2022 |
| Authorized official | Amanda Wissler, LCSW |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.