Doctor Name: | MRS. AMANDA SCHARA |
NPI Number: | 1053678425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CADC |
License Number: | 06153 |
Business Practice Address: | 3366 University Ave Waterloo, IA - 507012006 |
Business Phone Number: | 3192356571 |
Business Fax Number: | 3192356028 |
Mailing Address: | 1704 4th Ave Nw, WAVERLY |
State: | IA |
Postal Code: | 506771954 |
Phone Number: | 3197212502 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 06153 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |